While Medicare Advantage claim denials represent 17% of initial claim submissions, including those submitted by nursing home providers, about 57% of these ...

More than half of older Americans now get their Medicare coverage through an insurance company's Medicare Advantage (MA) plan ...

Payment from Medicare Advantage (MA) plans has long been a thorn in the side for nursing homes, but some organizations are ...

UnitedHealth Group Incorporated’s UNH new CEO, Steve Hemsley, began his return to leadership by issuing a rare apology to ...

Walmart shoppers who are also Medicare Advantage members can use their benefits in-store and online.  Customers need to add ...

More than half of older Americans now get their Medicare coverage through an insurance company's Medicare Advantage plan.

Beneficiaries’ initial enrollment choices, whether active or passive, tend to have long-lasting implications because ...

The Trump administration has vowed to ferret out Medicare Advantage fraud, but keeping that promise will mean overcoming ...

Hospitals and medical centers across the United States are increasingly opting out of Medicare Advantage (MA).

The change is part of a continuing effort for Florida Blue to drop some primary care physicians from insurance coverage ...

On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced a significant expansion of its auditing ...

New bipartisan bill would streamline prior authorization in Medicare Advantage, improving care access for older Americans.