Medicare Advantage Increases Government Costs, Not Saves Them, Reports Show
Medicare Advantage programs increase government spending by $84 billion annually due to payment structures and upcoding, impacting Medicare's fiscal sustainability.
U.S. Health Insurers’ Q1 Earnings Highlight Market Volatility and Strategic Challenges
Q1 earnings reports from major U.S. health insurers reveal volatile market dynamics driven by Medicare Advantage payment changes and diverse strategic challenges. Insight into implications for providers, payers, and policy.
Texas Palliative Care Model Cuts Hospitalizations Over 50% Using Data Analytics
Innovative Texas palliative care model leverages data analytics to reduce hospitalizations over 50%, enhancing outcomes and lowering costs for Medicare Advantage plans.
Infinitus Voice AI Enhances Healthcare Automation for Payers and Providers
Infinitus develops advanced voice AI agents that automate healthcare conversations, improving efficiency and compliance for payers and providers in the U.S. healthcare market.
Molina Healthcare Navigates Medicaid Volatility and ACA Cost Pressures in Q1 Results
Molina Healthcare reports higher medical loss ratios and ACA membership growth amid Medicaid rate adjustments and regulatory challenges in Q1 results. Upcoming 2025 guidance reflects cautious optimism.
Elevance Health Shows Strong Medicare Advantage Management and Carelon Growth
Elevance Health outperforms competitors by managing Medicare Advantage costs effectively and driving robust growth in its Carelon segment, bolstering its 2025 outlook and earning a Strong Buy rating with growth potential.
Court Allows FCA Whistleblower Case Against UnitedHealthcare Over Medicare Advantage Billing
Federal court permits whistleblower's False Claims Act allegations against UnitedHealthcare for improper Medicare Advantage billing to move forward, highlighting legal risks in healthcare billing compliance.
Dr. Mehmet Oz to Lead CMS with Focus on Expanding Medicare Advantage
Dr. Mehmet Oz confirmed as CMS Administrator with mandate to protect and grow Medicare Advantage, improving care and reducing costs for seniors.
UnitedHealth CEO Leads 2024 Payer Compensation with $26.3M Pay
In 2024, UnitedHealth CEO Andrew Witty earned $26.3 million, leading health insurance payer executive compensation amid manageable Medicare Advantage costs and leadership changes in major firms.
Medicare Advantage Drives Growth in Home Health Care Use, Study Finds
Study reveals shifting patterns in home health care use among Medicare Advantage enrollees, highlighting implications for care quality, equity, and policy in U.S. Medicare programs.