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The largest Medicare Advantage insurers are backing reforms to the program, and lawmakers are drafting new legislation targeting MA.  Here are 10 Medicare Advantage developments Becker’s has reported since May 28. 

A bipartisan group of lawmakers is introducing legislation that would allow the Department of Veterans Affairs to bill Medicare Advantage plans for care provided to members, the Wall Street Journal reported June 23.  A study published in Health Affairs in…

Health plan executives and marketing leaders are facing intensifying pressure to grow member volumes, improve outreach and engage consumers digitally — all while navigating an evolving legal minefield of data privacy risks. At the heart of the challenge lies the…

The investment arm of Marietta, Ga.-based Wellstar Health System, Catalyst by Wellstar, has invested in Venteur, a digital health startup that administers Individual Coverage Health Reimbursement Arrangement plans. ICHRAs allow employers to contribute tax-free dollars to employees’ health benefits, which…

The broader health insurance industry has announced a series of commitments to streamline, simplify and reduce prior authorization requirements across commercial, Medicare Advantage and managed Medicaid plans covering 257 million Americans. “The health care system remains fragmented and burdened by…

CMS will raise limits for payments to Medicare Advantage brokers for 2026.  According to a notice from CMS published June 18, plans can pay brokers up to $694 for new enrollments in MA plans, and $347 for renewing existing members.…

CMS is implementing a final rule that will shorten the open enrollment period on the ACA exchange and create stricter eligibility verifications for enrollees.  In a June 20 news release, the agency said the changes will lower individual premiums by…


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