Author: Rylee Wilson

CMS is proposing a slate of Medicare Advantage policy updates for 2025, and lawmakers are eyeing marketing and networks in the program. 

Humana reported declining income in the face of rising medical costs and is adding new sponsorships. 

Fewer Medicare Advantage plans will offer nonmedical supplemental benefits like home modifications, adult day health services and therapeutic massage in 2024, according to an analysis from ATI Advisory published Oct. 30. 

CMS is proposing a standard appeals process for risk adjustment data validation audits in Medicare Advantage. 

CMS is proposing a set of new Medicare Advantage rules, including new standards that would impose more limits on plans' payments to brokers and limit the role of third-party marketers. 

A group of federal lawmakers is asking CMS to increase its oversight of artificial intelligence and algorithms used in Medicare Advantage prior authorization decisions. 

Increasing Medicare Advantage enrollment in rural areas did not increase rural hospitals' financial distress or risk of closing, a study published Nov. 3 in the American Journal of Managed Care found. 

The Cigna Group is exploring a potential sale of its Medicare Advantage business, Reuters exclusively reported Nov. 6. 

Payer leaders are turning their attention to health equity, prior authorization, AI and more as 2024 approaches. 

UnitedHealth Group has named Charlie Baker to its board of directors.