As Medicare Advantage directory data are incorporated into the Medicare plan finder, CMS is launching a special election period for beneficiaries to leave their current plan if incorrect information is present, a Sept. 12 CMS memo said. This window applies…
Medicare Advantage
Patients who get primary care from older adult-focused, value-based care organizations are more likely to use these services regularly, according to a study published in NEJM Catalyst: Innovations in Care Delivery, a digital journal published by The New England Journal…
The National Committee for Quality Assurance identified the standout MA plans for each state, evaluating based on nearly 50 factors that include patient experience and clinical performance. The ratings were released Sept. 16 and are based on 2024 data from…
Three Medicare Advantage plans scored a full five stars in this year’s health plan rankings from the National Committee for Quality Assurance. An additional 17 plans, including six more Kaiser Foundation Health Plans from around the country, scored 4.5 stars…
Aetna’s new “level of severity inpatient payment” policy will take effect in less than two months, and the American Hospital Association said it is “deeply concerned.” Aetna’s policy, set to go into effect Nov. 15, will approve inpatient stays without…
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The California Department of Managed Health Care has issued a cease-and-desist order against Meritage Health Plan, effectively shutting down the Medicare Advantage insurer by the end of October. The Aug. 27 order requires six health plans (Alignment Health, Humana, SCAN…
As a wave of insurers exit Medicare Advantage plans, Health Care Service Corporation is jumping in, launching plans in 948 counties across 30 states and the District of Columbia, according to a Sept. 10 news release. HCSC’s MA plans will…
New Hampshire’s insurance commissioner is warning that some seniors in the state will have little to no access to Medicare Advantage in 2026 as insurers exit the market, the New Hampshire Union Leader reported Sept. 10. “From what I am…
Amid a wave of health systems dropping Medicare Advantage plans over administrative and reimbursement issues, the Medicare Payment Advisory Commission has found no “statistically significant change in hospital profit margins” due to growing enrollment in Medicare Advantage plans, according to…
A federal judge in Minnesota has denied UnitedHealth Group’s request to narrow the scope of discovery in an ongoing lawsuit that accuses the insurer of using artificial intelligence to wrongfully deny Medicare Advantage members post-acute care. The case, filed in…