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Medicare Advantage

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OIG Finds Very High Denial Rates for Post-Hospital Care in Medicare Advantage

The reports ask CMS to collect routine prior-authorization data to expose insurer variation.

Stories older than 24h

Humana Tops Q1 but Trims Reported EPS Guidance as Cost Pressures Persist

UnitedHealth Surges After Medicare Advantage Rate Hike

Grand Jury Indicts Anar Rustamov in $90 Million Medicare Advantage Fraud as Suspect Remains At Large

Congressional Report Links Medicare Advantage Spending to $13.4 Billion Jump in 2025 Part B Premiums

Medicare Part B Premium to Rise to $202.90 in 2026

Elevance Tops Q3, Flags 2026 Medicaid Margin Hit and Keeps 2025 Outlook

Privia Health to Acquire Evolent’s ACO Business for $100 Million, Plus Up to $13 Million Tied to MSSP

UnitedHealth Shares Jump on Strong Early Medicare Advantage Scores and Reaffirmed 2025 Outlook

Centene Withdraws 2025 Guidance Following $1.8 Billion Risk-Adjustment Shortfall