Medicare Advantage

Latest Headlines

Latest Headlines

Insurance industry applauds CMS for Medicare Advantage rate increase

The Centers for Medicare & Medicaid Services reversed a February proposal to decrease Medicare Advantage rates by 0.95 percent, announcing this week a 1.25 percent rate increae next year. For years, insurers have voiced their opposition to cuts to the program. Now, it appears as though the Obama administration finally is listening to the health insurance industry. 

CMS increases Medicare Advantage payments, reverses February proposal

Health insurers operating Medicare Advantage plans can expect revenue to increase 1.25 percent next year, the Centers for Medicare & Medicaid Services  announced Monday. However, insurers likely will see their overall revenue increase about 3.25 percent as they deliver and bill for more intense services.

UnitedHealth tops Medicare Advantage enrollment, Humana in second

Nearly 17.3 million individuals were enrolled in Medicare Advantage (MA) plans as of March 2015, according to a recent analysis brief from Mark Farrah Associates.

Seniors love Medicare Advantage

Most seniors are satisfied with their Medicare Advantage coverage and costs, according to a new poll from Morning Consult. The findings help bolster the insurance industry's case against the Obama administration's most recent proposal to decrease Medicare Advantage payment rates.

Cigna, SCAN join forces to offer group retiree Medicare Advantage plans in California

Cigna and California-based SCAN Health Plan have formed an alliance to provide Medicare Advantage plan benefits to employer clients in California, the insurer recently announced.

Humana says it's not alone in DOJ investigation of Medicare Advantage billing

After the  Department of Justice (DOJ) requested information from Humana last month regarding risk adjustments assigned to Medicare Advantage beneficiaries, the insurer said this week that it believes this investigation is part of a more extensive review that involves other healthcare companies, reported Reuters.

Amid billions in recoveries, Medicare Advantage problems still linger

Just before the government announced nearly $28 billion in fraud recoveries since 1997, The Centers for Public Integrity released a report indicating the feds have known about problems with Medicare Advantage risk scores since 2009. The report questions whether those recovery dollars could be a whole lot higher if the investigators were willing to target a payment system that appears to be flawed. 

Consumers want Medicare Advantage plans with high ratings

Insurers have even more incentive to earn high stars for their Medicare Advantage plans: According to a new analysis from Avalere Health, consumers increasingly choose plans with four or more stars.

CMS tightens provider directory rules for 2016

Starting next year, health insurers must provide up-to-date doctor lists for their  Medicare Advantage and Healthcare.gov policies, according to the Centers for Medicare & Medicaid Services.

Hospitals oppose Medicare Advantage cuts

The Centers for Medicare & Medicaid Services proposes a modest 0.95 percent reduction in Medicare Advantage payments to providers for 2016--a proposal that is not sitting well with the hospital sector.