Automated health risk assessments powered by artificial intelligence are the latest tool to maximize Medicare Advantage ...

Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle ...

According to recent reporting, it appears the Centers for Medicare & Medicaid Services (CMS) Innovation Center has been ...

Medicare Advantage is a vital part of the healthcare ecosystem – but it needs serious changes so it can continue to thrive.

Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for ...

UnitedHealth Group seemed immune from the higher costs and systemic changes in the Medicare Advantage program that bedeviled ...

Advocates highlighted that program costs have seen margins fall sharply in the insurance sector. Enrolled older adults have ...

The federal Medicare program spends more per beneficiary for a person on Medicare Advantage than if the person were on ...

Original Medicare and Medicare Advantage (Part C) cover hospitalization, medical appointments, and other healthcare costs. Original Medicare is government-run, while Medicare Advantage plans are ...

Medicare Advantage and Part D Final Rule (Final Rule). With CMS releasing the 2026 Medicare Advantage and Part D Proposed ...

There are expenses that Medicare won't cover in 2025, and it's important to find other ways to cover these costs.

But poorly structured payments for Medicare Advantage—a program that pays private insurers to manage seniors’ health coverage—have led to taxpayer dollars increasingly being used for non-medical perks ...