Healthcare ❯ Medicare

Medicare Advantage

Premiums Insurance Plans Enrollment Government Programs Regulatory Changes Star Ratings Payment Rates Regulations Regulatory Challenges Plans Payer Relations Payment Issues Audits Managed Care Reimbursement Changes Insurance Practices Prescription Drug Prices Prior Authorization Utilization Management Prescription Drug Plans Reimbursement Rates Insurance Plan Ratings Shared Savings Program Enrollment Process Healthcare Programs Cost Trends Government Policies

OIG Finds Major Medicare Advantage Plans Often Deny Rehab Care and Then Reverse Those Decisions

The inspector general urged CMS to collect detailed prior-authorization records to expose contractor practices that may be blocking patient access.

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