Author: Rylee Wilson

Recent research on Medicare Advantage has highlighted differences in the amount of at-home care beneficiaries in MA and fee-for-service Medicare receive, and studied the potential effects of CMS' proposed benchmark payments in 2025. 

Older couples typically enroll and disenroll in Medicare Advantage plans together, a study published in JAMA found. 

Leaders in the payer space are investing in new technologies, population health and their teams in 2024. 

Humana is seeking to dismiss a class action lawsuit alleging the insurer used an AI algorithm to wrongfully deny Medicare Advantage beneficiaries care. 

Private lawyers made at least $108 million in fees from payments Centene made to states to settle overcharging allegations, The New York Times reported March 21. 

Six insurers are among Top Workplace's 2024 honorees. 

A group of Republican lawmakers are asking CMS to reconsider its proposed 2025 rates for Medicare Advantage. 

There are few statistically significant differences between the way primary care physicians treat patients in Medicare Advantage and fee-for-service Medicare, according to the Commonwealth Fund. 

States and CMS can increase their oversight of denials by Medicaid managed care organizations, according to a report from the Government Accountability Office. 

Meridian Health Plan of Illinois will reimburse a portion of the certification fees for hospitals that participate in The Joint Commission's Health Care Equity Certification.