A group representing nonprofit health plans is raising concerns over what it claims is a wide variation in Medicare Advantage risk adjustment scores across insurers, leading to what it calls a “gaming” of MA payments to the benefit of for-profit…
Medicare Advantage
Blue Cross Blue Shield of Wyoming is entering the Medicare Advantage market for 2026 coverage. In its inaugural year, WyoBlue Advantage will be available to Medicare-eligible residents in 22 of Wyoming’s 23 counties. The company will offer both a Medicare-only…
Californians enrolled in Medicare Advantage are facing slower growth in healthcare costs compared to those in traditional Medicare, according to new research from the UCLA Center for Health Policy Research. Five notes: 1. Between 2013 and 2023, average monthly healthcare…
As some insurers and health systems pull back on their Medicare Advantage offerings for next year, Intermountain’s Select Health says it is strategically positioning itself for continued, long-term success in the program by focusing on key areas that will drive…
Highmark New York is the lowest-ranked Medicare Advantage plan for customer satisfaction in 2025, according to J.D. Power’s 11th annual Medicare Advantage study. The consumer insight firm published its list of the top Medicare Advantage plans in 10 markets on…
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UPMC has the highest-ranked Medicare Advantage plan for customer satisfaction in 2025, according to J.D. Power’s 11th annual Medicare Advantage study. The consumer insight firm published its list of the top Medicare Advantage plans in 10 markets on Aug. 19.…
Peak Health is planning its largest expansion to date in the Medicare Advantage market, more than doubling its potential footprint in its home state and moving into Pennsylvania for the first time. “We’re looking to expand substantially. We will be…
Medicare Advantage enrollment in rural America has quadrupled since 2010, reaching 40% of eligible beneficiaries in 2023, but still far below the 53% penetration in metropolitan areas. Rural beneficiaries now have an average of 27 MA plans to choose from,…
The coming year is expected to be an even more “intense and disruptive” period for Medicare Advantage, as rising utilization, pharmacy costs and shifting market dynamics put new pressure on plans, while also creating opportunities for provider-sponsored models. Becker’s connected…
Priority Health, the insurance arm of Grand Rapids, Mich.-based Corewell Health, is focused on long-term Medicare Advantage sustainability as the industry navigates rising costs and utilization. Becker’s connected with Interim President Nick Gates about how the insurer continues to integrate…