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

Democrats urge GOP to tackle Medicare Advantage upcoding instead of Medicaid cuts, citing $50B in waste. CBO predicts 5M+ ...

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

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 ...

Democratic lawmakers are asking GOP leadership to reject Medicaid cuts in favor of going after Medicare Advantage “upcoding” ...

Eyeglasses and contact lenses: Medicare will not pay for eyeglasses or contact lenses, with one exception: If you have had a ...

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 ...

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

In April 2025, the Centers for Medicare and Medicaid Services (“CMS”) issued multiple pieces of guidance related to Medicare ...

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 ...