Your Medicare Advantage Plan Is Being Canceled. Why It’s Not the End of the World.
When a Medicare Advantage plan is eliminated, the members can return to traditional Medicare and buy a Medigap supplement policy without being penalized for preexisting conditions.
Medicare Advantage insurers bank on Special Needs Plans in 2025
UnitedHealthcare, Humana, Elevance Health, Aetna and others are leaning into Medicare Advantage Special Needs Plans while scaling back other offerings.
Half of NH’s Medicare Advantage Insured May Need New Plan: Insurance Dept.
Based on data from the Centers for Medicare & Medicaid Services (CMS) for 2022-2023, around 44,000 seniors in New Hampshire – more than half of the state's Medicare Advantage population – may need to choose a new plan or carrier.
Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds
Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care -- for coverage denials, according to a report issued Thursday by the Senate Permanent Subcommittee on Investigations.
Open Enrollment Is Here: 3 Signs It's Time to Change Your Medicare Advantage Plan
And those are considered more "standard" benefits for Medicare Advantage plans. Some plans go well beyond these perks, covering services that include home cleaning and meal delive
CarePlus unveils enhanced Medicare Advantage plans for 2025
CarePlus Health Plans, Inc., a leading Medicare Advantage provider in Florida, has announced significant enhancements to its plans for 2025.
Humana: Medicare Advantage May Fail Without Regulator Intervention, Threatening Core Business
Humana faces significant challenges with rising denial rates and customer disenrollment, leading to a sharp decline in stock ...
‘Absolutely outrageous’ CT senator blasts Medicare Advantage insurers for denying care
Conn., blasted Medicare Advantage providers at a press conference in Hartford on Thursday for denying coverage for certain ...
STAT2d
Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows
The Senate report extensively cites STAT’s investigation of the use of algorithms and artificial intelligence within Medicare ...
Humana reportedly sues over Medicare Star Ratings cut
A sharp decline in its Medicare Star Ratings for 2025 has prompted Humana (NYSE:HUM) to file a lawsuit in a Texas federal ...
Modern Healthcare5d
Medicare Advantage market seen as stable, despite stars letdown
Much about Medicare Advantage has changed in the last few years. UnitedHealthcare and Humana being on top likely won't.
Skilled Nursing News2d
U.S. Senate Subcommittee Raises Alarm Over Medicare Advantage’s Denial of Post-Acute Care
Medicare Advantage’s prior authorization process has resulted in higher denial rates among three of the largest health ...
Fierce Healthcare8d
Medicare Advantage star ratings 2025—Who are the winners and losers?
Analyses of 2025 Medicare Advantage star ratings continue to pour in and not all of it bodes well for the conventional ...
Becker's Hospital Review2d
Medicare Advantage plans 'intentionally using prior authorization to boost profits': Senate report
The largest Medicare Advantage insurers have prioritized profits over patient care by increasing the use of prior authorization in recent years to frequently deny post-acute care services to older ...
Modern Healthcare3d
How Biden transformed Medicare Advantage
Medicare Advantage underwent a quiet metamorphosis under President Joe Biden. Health insurance companies are still scrambling ...