Insurers pay higher commercial prices to hospitals in their Medicare Advantage network: Study
(By: Jakob Emerson for Becker’s Hospital Review) On average, insurers pay 4.7% higher commercial prices to hospitals that are a part
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Medicare Advantage
CMS weighing prior authorization reforms: Report
(By: Andrew Cass for Becker’s Hospital Review) CMS is considering proposals that would cut the number of procedures that are subject
Read More5 Questions About the Idea of Default Enrollment into Medicare Advantage Plans
(By Meredith Freed, Juliette Cubanski, Jeannie Fuglesten Biniek, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 29, 2025)
Read MoreMedicare Advantage Insurers Often Use Rewards and Incentives to Encourage Enrollees to Complete Health Risk Assessments (HRAs)
(By Meredith Freed, Nolan Sroczynski, and Jeannie Fuglesten Biniek for The Kaiser Family Foundation Published: Apr 28, 2025) Beginning in
Read MoreThe difference in care between Medicare and Medicare Advantage members
With the increasing enrollment by Medicare recipients in Medicare Advantage health plans and the issue of prior authorization requirements and
Read MoreStand-Alone Drug Plans Cover a Larger Share of Medicare Part D Enrollees Living in the Most Rural Areas Than Medicare Advantage Plans
(By Juliette Cubanski, Tricia Neuman, and Anthony Damico for The Kaiser Family Foundation Published: Apr 23, 2025) The growing role
Read MoreA costly mistake for many Medicare Advantage enrollees
A recent study by a leading healthcare system found that people on Medicare Advantage plans are not utilizing dental and
Read MoreMedicare Advantage plans spent $38B on supplemental benefits in 2024: 5 notes
(By: Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans spent $38 billion on non-Medicare benefits in 2024, according to a
Read MoreWhen Medicare Advantage plans exit markets, where do their members go?
(By: Rylee Wilson for Becker’s Hospital Review) When two Blue Cross Blue Shield plans exited Medicare Advantage markets, UnitedHealthcare picked
Read MoreCMS boosts Medicare Advantage payments by $25B
(By: Rylee Wilson for Becker’s Hospital Review) CMS will increase payments to Medicare Advantage plans by more than $25 billion
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