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Medicare Advantage

Latest Headlines

Latest Headlines

Medicare Advantage members have 'robust' plan choice

Medicare Advantage (MA) enrollees enjoy considerable plan choice and are likely to continue to do so even amid the wave of consolidation that has recently taken place in the health insurance industry, according to a new analysis from Avalere.

Health policy experts say Medicare is more efficient than Medicare Advantage

Although the Medicare Advantage program is widely popular among both insurers and consumers, several healthcare experts don't think Medicare officials should privatize the public insurance program any further.

In memo to employees, Aetna CEO lauds deal with Humana

Perhaps trying to ease concerns about the company's impending merger with Humana, Aetna CEO Mark Bertolini reiterated the benefits of the deal in an internal memo to his employees.   

Looking past King v. Burwell: Business implications for health insurance plans

For insurance plans, the  King v. Burwell  decision affirms tax credits will be available for the 6.4 million who might have lost coverage. It also has the immediate effect of temporarily stabilizing premiums and likely participation in the 19,000,000 enrollee individual insurance market. But beyond this, a number of issues and challenges relevant to insurers remain as part of the unfolding of the Affordable Care Act's implementation.

Why Tavenner's new post, Aetna-Humana merger show Medicare Advantage's strength

Both the Aetna-Humana merger deal and the news that Marilyn Tavenner will take the helm of America's Health Insurance Plans underscore just how important Medicare Advantage has become to the country's private health insurers, according to  Forbes.

Puerto Rico could lose billions in Medicare, Medicaid payments

Puerto Rico, which already is in the midst of a financial crisis, is facing steep cuts in Medicare Advantage rates and a likely lapse in funds supplementing its Medicaid programs, according to the  Washington Post.

Government audits reveal millions in Medicare Advantage overpayments

Four more secret Medicare Advantage audits surfaced Friday thanks to a Freedom of Information Act lawsuit filed by the Center for Public Integrity. The most recent government audits add to the growing concern that significant billing errors and inflated risk scores contribute to millions in overpayments.

University Hospitals, Anthem start ACO for Medicare Advantage patients

To better coordinate care and reduce healthcare costs by improving communication between providers and insurers, Cleveland, Ohio-based University Hospitals and Anthem Blue Cross and Blue Shield have launched an accountable care organization that will serve patients in the insurer's Medicare Advantage plan,  Crain's Cleveland Business  reports.

Following $450 million settlement, DaVita subpoenaed for Medicare Advantage coding

Nearly two months after DaVita Healthcare announced it would pay nearly half a billion dollars to settle claims that it improperly billed Medicare for wasted vials of medication, the largest dialysis provider in the country is facing a subpoena from the U.S. Department of Health and Human Services (HHS), according to a Securities Exchange Commission (SEC) filing released by the company on Wednesday.

How Premera Blue Cross broke into the Medicare Advantage market [Q&A]

Humana and UnitedHealth dominate the fast-growing Medicare Advantage market across the country. But Washington-based Premera Blue Cross proved that insurers can challenge the top dogs. Although...