Norfolk, Va.-based Sentara Health and Aetna have expanded their partnership to provide Medicare Advantage and Medicaid members with access to Sentara’s full network of hospitals, providers and care sites across Virginia. The agreement, which takes effect Jan. 1, 2027, will…
Medicare Advantage
During an Oct. 27 earnings call, Centene CEO Sarah London said the company’s Medicare Advantage business is on track to break even in 2026, one year earlier than expected. In recent years, Centene has been working toward breaking even in…
At least five health insurers have now sued CMS over their 2027 Medicare Advantage star ratings, claiming the agency used quality measures that were never formally adopted through the rulemaking process. Combined, the plans say the ratings will cost them…
About 4.3 million Medicare beneficiaries will see their Medicare Advantage or standalone prescription drug plans terminated on Dec. 31, according to an Oct. 27 KFF analysis. Of those facing plan losses, 2.8 million, 300,000 and 1.2 million beneficiaries will see…
CMS is granting a special enrollment period to Medicare Advantage enrollees in northern Nevada affected by provider network changes at Kaiser Permanente. On Dec. 13, Kaiser Nevada will terminate providers from its Senior Care Plus Medicare Advantage network, the Nevada…
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Healthfirst is the latest insurer to sue the federal government in a bid to overturn its 2027 Medicare Advantage star rating it says will cost the plan more than $380 million. The New York City-based insurer, which has more than…
Boise, Idaho-based St. Luke’s Health System will begin offering Medicare Advantage coverage for the first time in 2027, making it one of just a handful of new entrants into the market. The launch comes as more than a dozen payers…
As Medicare Advantage faces concerns regarding plan oversight, possible overpayments and care access, RAND researchers assembled experts to unpack potential reforms. Published in Health Affairs Oct. 5, the study consisted of two rounds with nearly 40 panelists. They rated 15…
SCAN Health Plan launched a Medicare Advantage HMO with CareMore Health, an integrated care delivery system and primary care provider under Mosaic Health, with coverage beginning Jan. 1. According to an Oct. 13 news release, CareMore Health Plan by SCAN…
A newly introduced House bill is targeting the methodology behind Medicare Advantage star ratings, adding more pressure to a program that has seen years of litigation from insurers. The Medicare Advantage Strengthening Transparency and Accountability in Rating Systems Act, or…