High Stakes in CMS’s 2026 Medicare Advantage Star Ratings
The CMS released 2026 Medicare Advantage star ratings showing mixed results for major insurers. Star ratings affect bonus payments and rebates, impacting insurer revenues and market strategy.
Medicare Part B Premiums Rise in 2026; Part D Drug Costs Slightly Decline
Medicare Part B premiums are set to rise significantly in 2026 amid medical inflation, while Part D prescription drug costs slightly decline nationally. Enrollment opens October 15 for plan changes including Medicare Advantage and Medigap options.
Judge Upholds CMS Star Rating Methodology in Humana Medicare Advantage Dispute
Federal court upholds CMS's star rating methods after Humana challenges foreign language interpreter test policy, impacting Medicare Advantage market competition and insurer revenues.
Judge Denies Humana's Challenge to CMS 2025 Medicare Advantage Ratings
A U.S. court rejected Humana's attempt to contest the CMS 2025 Medicare Advantage ratings, affecting Humana's bonus payments and highlighting CMS's regulatory role.
Vermont Blue Advantage Exits Medicare Advantage Market in 2026 Amid Financial Strains
Vermont Blue Advantage will discontinue Medicare Advantage plans in 2026, impacting 26,000 enrollees. HealthSpring assumes retiree plans amid market exits by UnitedHealthcare. State braces for enrollment shifts.
CDPHP Achieves High NCQA and CMS Ratings for Commercial and Medicare Plans
CDPHP earns top NCQA and CMS 4.5-star ratings in 2025 for commercial and Medicare health plans, highlighting strong quality and member care in New York's insurance market.
No UPCODE Act Targets $124 Billion Medicare Overbilling to Save Taxpayers
The No UPCODE Act aims to save taxpayers $124 billion by curbing Medicare overbilling practices by insurers like UnitedHealthcare, promoting fiscal responsibility and enhancing Medicare program sustainability.
Sentara Health Plans to End Multiple Medicare Advantage Products by 2025
Sentara Health Plans will discontinue several Medicare Advantage products in Virginia, North Carolina, and Florida by end of 2025 due to financial and regulatory challenges, affecting member coverage options during Medicare open enrollment.
HealthSpring Launches Diverse Medicare Plans for 2026
HealthSpring unveils comprehensive Medicare plans for 2026, featuring enhanced benefits, chronic condition support, and expansive coverage in 29 states and DC. Enrollment opens October 15.
UnitedHealth to Exit Medicare Advantage Plans in 16 Counties Amid Cost and Reimbursement Challenges
UnitedHealth will stop offering Medicare Advantage plans in 16 U.S. counties by 2026 due to CMS funding cuts and rising healthcare costs, impacting 180,000 members and shifting focus to sustainable care models.