News

Modern Healthcare1d
AI health risk assessments aim to boost Medicare Advantage pay
Automated health risk assessments powered by artificial intelligence are the latest tool to maximize Medicare Advantage ...
Democrats push GOP toward Medicare ‘upcoding’ instead of Medicaid cuts
Democratic lawmakers are asking GOP leadership to reject Medicaid cuts in favor of going after Medicare Advantage “upcoding” ...
Trump’s benchmark payment rate increase for insurance companies? It comes at a cost, both for insurers and Americans — here’s the skinny for older adults in the Me…
Advocates highlighted that program costs have seen margins fall sharply in the insurance sector. Enrolled older adults have ...
Managed Healthcare Executive7d
Will the Trump Administration Advantage Medicare Advantage?
Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for ...
STAT4d
Medicare Advantage challenges catch up to UnitedHealth
UnitedHealth Group seemed immune from the higher costs and systemic changes in the Medicare Advantage program that bedeviled ...
Healthline5d
Original Medicare (Parts A and B) vs. Medicare Advantage (Part C)
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 ...
Savvy Senior: Does Medicare cover vision care and eye exams?
Eyeglasses and contact lenses: Medicare will not pay for eyeglasses or contact lenses, with one exception: If you have had a ...
JD Supra4d
CMS’s 2026 Final Medicare Advantage Rule Focuses on Implementing the IRA and Deregulation
Medicare Advantage and Part D Final Rule (Final Rule). With CMS releasing the 2026 Medicare Advantage and Part D Proposed ...
Wisconsin Watch on MSN5d
Does Medicare Advantage cost more than traditional Medicare?
The federal Medicare program spends more per beneficiary for a person on Medicare Advantage than if the person were on ...
What costs does Medicare not cover in 2025?
There are expenses that Medicare won't cover in 2025, and it's important to find other ways to cover these costs.
Retirement Daily on The Street on MSN13d
Medicare Advantage Insurers Often Use Rewards, Incentives to Encourage Enrollees to Complete Health Risk Assessments
Beginning in 2014, the Centers for Medicare & Medicaid Services (CMS) has permitted Medicare Advantage insurers to offer ...
Crain's New York Business12d
Public sector unions sue city in dispute over lost savings from flagging Medicare Advantage transition
The city’s public employee unions are challenging a bid by the Adams administration to recoup expected savings from a halted ...