Medicare Advantage in the headlines: 8 recent updates

UnitedHealthcare's Medicare Advantage numbers keep growing, and CMS issued new regulations to simplify prior authorizations and crack down on misleading marketing in the program. 

Here are eight updates on Medicare Advantage Becker's has reported since April 4. 

  1. CMS' risk adjustment changes won't slow down UnitedHealth Group's long-term growth in the program, CEO Andrew Witty told investors April 14. 

  1. Devoted Health is the fastest growing Medicare Advantage startup plan — here's how the largest startup plans fared in 2023 enrollment. 

  1. CMS issued a final rule April 5 that, among other things, aims to streamline Medicare Advantage and Part D prior authorizations and clamp down on misleading marketing practices. 

  1. Two senators are introducing legislation aimed at reducing Medicare Advantage overpayments. The "No UPCODE" act, introduced by Sen. Bill Cassidy, MD, a Louisiana Republican, and Sen. Jeff Merkley, an Oregon Democrat, would target upcoding through several mechanisms. 

  1. Just 1 percent of people eligible for Medicare in Alaska are enrolled in Medicare Advantage. Here are the states with the lowest percentage of Medicare beneficiaries enrolled in MA plans. 

  1. Enrollees in Medicare Advantage and traditional Medicare use less postacute care in markets with higher Medicare Advantage penetration, a study published in the April issue of Health Affairs found. 

  1. Medicare Advantage outpaced traditional Medicare on most clinical quality measures in 2010 and 2017, a study published in Health Affairs found.

  2. Rochester, N.Y., and Rio Grande City, Texas, have the highest rates of Medicare Advantage adoption. Here are the metropolitan areas where more than 65 percent of Medicare-eligible people choose Medicare Advantage.




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