Medicare Advantage in the headlines: 9 recent updates

UnitedHealthcare is facing a lawsuit of alleged wrongful Medicare Advantage care denials, and lawmakers are eyeing new regulations on the program. 

Here are nine Medicare Advantage updates Becker's has reported since Nov. 8. 

  1. Differences in the clinicians Medicare Advantage and traditional Medicare beneficiaries see have some effect on differences in avoidable hospitalization rates between the two programs, a study published in JAMA Health Forum found.

  2. A bipartisan group of senators are introducing legislation that would require Medicare Advantage plans to report more encounter data. 

  1. From October to December, airwaves are flooded with advertisements for Medicare Advantage plans, urging beneficiaries to call and review their options. Though CMS has implemented new restrictions on the types of advertisements third-party agencies can air, the federal agency and some lawmakers are eyeing further restrictions. 

  1. UnitedHealth Group and its health insurance arm, UnitedHealthcare, are facing a proposed class-action lawsuit alleging an AI algorithm wrongfully denied Medicare Advantage patients care. 

  1. Medicare Advantage enrollees tend to have lower hospital readmissions rates and expenses than their counterparts in fee-for-service, studies have uncovered. Here are five recent findings on Medicare Advantage Becker's has reported.  

  1. The federal government is ramping up scrutiny of Medicare Advantage plans. 

  1. Major health insurers are offering Medicare Advantage plans in more counties in 2024 than they did in 2023. Here are the number of counties seven payers are offering Medicare Advantage plans in 2024 and how those figures compare to 2023. 

  1. Thirteen insurers are exiting Medicare Advantage markets in 2024, and four new insurers will enter the space, according to KFF.

  2. The average Medicare beneficiary will have 43 Medicare Advantage plans to choose from in 2024, according to an analysis from KFF. Here are states ranked by the number of plans available to beneficiaries in 2024.

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