Medicare Advantage organizations will see a 5.9 percent payment cut in 2015 that would jeopardize their sustainability, claims a new report from America's Health Insurance Plans--much higher than federal estimates.
The Obama administration is quick to call the Affordable Care Act a success, signing up 4 million new consumers through health insurance exchanges, for example. But success for insurers in a post-reform market depends on three main factors.
Only one day after the Centers for Medicare & Medicaid Services announced it would lower payment rates for Medicare Advantage plans, a new analysis finds enrollment in the program continues to grow.
The Centers for Medicare & Medicaid Services proposed a 2015 reduction in payments to insurers for Medicare Advantage plans to align Medicare Advantage benchmarks with Medicare fee-for-service costs pursuant to Affordable Care Act requirements and lower Medicare spending.
A federal appeals court has denied UnitedHealthcare's request to dismiss a lawsuit brought by doctor associations in Connecticut. The case is part of a larger trend of providers fighting back when insurers drop them from networks.
The U.S. Chamber of Commerce is urging the Centers for Medicare & Medicaid Services not to cut rates for Medicare Advantage (MA) plans that are expected in 2015.
UnitedHealth is making more enemies than friends right now as another major organization opposes the insurer's plans to drop 19 percent of its Medicare Advantage network in Connecticut.
Insurers aren't taking any chances with the latest round of potential cuts to Medicare Advantage, so their lobby group, America's Health Insurance Plans, is launching a multimillion-dollar campaign to urge federal officials to keep payment rates steady in 2015.
Despite conservative growth strategies, pricing concerns, reductions in service areas and the loss of 25 Medicare Advantage plans, the remaining 260 insurers saw enrollment growth of more than 9 percent year-over-year, according to an analysis by Mark Farrah Associates.
The Centers for Medicare & Medicaid Services yesterday released a whopping 678 pages of draft revisions to Medicare C and D regulations intended to fight fraud and save the program about $1.3 billion over five years.