CMS recently finalized policies as part of the 2027 Medicare Advantage final rule that both enhance consumer protections and roll…
Browsing: Advantage
The health system claims the policy, which reduces reimbursement for some inpatient hospital stays, violates federal law and its reimbursement…
Regulators locked in a 2.48% rate hike for next year, much higher than the 0.09% that was proposed. Analysts said…
Regulators cut almost a dozen metrics that factor into the quality ratings and reverted back to an older and more…
The insurer had until the end of March to correct faulty data submissions or be hit with severe sanctions from…
Senators praised a recent CMS proposal aimed at reducing payments in MA, but urged the agency to work with Congress…
Under traditional arrangements, licensed agents and brokers receive commissions from insurers for selling policies. In contrast, insurance consultants typically charge…
The new agreement will give Humana’s MA members access to CommonSpirit’s doctors and facilities for the next three years, and…
Strong capital position underpins strategy shift The market’s balance sheet strengthened further over the year, with total capital, reserves and…
If you judged by the more than 16,400 comments posted on a federal government website, you’d think there was a…
Judging by more than 16,400 comments recently posted on a federal government website, you’d think there was a groundswell of…
Congressional investigators found Medicare Part B premiums rose by more than $200 per member, totaling $13.4 billion in additional spending,…
The settlement announced by the Department of Justice on Wednesday comes after federal regulators accused Aetna of submitting inaccurate data…
The Trump administration wants to keep MA rates flat next year and change how risk adjustment is calculated. Insurers had…