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Medicare Advantage

Latest Headlines

Latest Headlines

Sen. Chuck Grassley calls DOJ, CMS to task on Medicare Advantage payments

Sen. Chuck Grassley (R-Iowa) wants to know how the Department of Justice and the Centers for Medicare and Medicaid Services are addressing the  billing problems that have plagued Medicare Advantage for years.

Five biggest insurers post positive first quarter reports

The five biggest insurers in the country are heading into a more stable future after their first quarter earnings reports show that they're all faring well financially in the post-reform market.

More whistleblower lawsuits target Medicare Advantage plans

At least six whistleblower lawsuits have been filed in states across the country alleging overpayments linked to privately run Medicare Advantage plans, and more are expected to emerge.

Medicare Advantage rates, risk scores and the future of senior healthcare

Sometimes, in the midst of reporting the news day after day, you miss the proverbial Big Picture. It usually takes several stories centered on a common theme, along with some sort of memory trigger,...

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.