The bigger picture for Medicare Advantage
Medicare Advantage has been around since 1997, when it was established by the Balanced Budget Act. Initially called “Medicare Choice,”
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Medicare Advantage
CMS hikes Medicare Advantage rate 2.48% for 2027: 6 notes
(By: Elizabeth Casolo for Becker’s Hospital Review) CMS is raising Medicare Advantage payments by 2.48%, or more than $13 billion,
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BCBS Association asks CMS to close Medicare Advantage fraud gaps, regulate AI coding tools
(By: Jakob Emerson for Becker’s Hospital Review) The Blue Cross Blue Shield Association submitted a wide-ranging letter to CMS on
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Medicare Beneficiaries to See Simpler and More Flexible Plan Choices, Better Drug Coverage, Higher Quality and Lower Costs in 2027
(Source – www.cms.gov) The Centers for Medicare & Medicaid Services (CMS) is improving health plan quality, making it easier to
Read MoreInsurers’ Prior Authorization Data Offers Little Insight Into What Gets Approved or Denied
(Author Kaye Pestaina for The Kaiser Foundation published April 2, 2026) For many Americans, especially those with a chronic condition,
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CMS finalizes 2027 Medicare Advantage and Part D rule: 10 notes
(By: Jakob Emerson for Becker’s Hospital Review) CMS published its final 2027 Medicare Advantage and Part D rule on April
Read MoreNew Industry Segment-Specific Voluntary Compliance Program Guidance
The U.S. Department of Health and Human Services, Office of Inspector General (OIG) has released the new industry Segment-Specific Voluntary
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8 Medicare Advantage numbers to know in 2026
(By: Elizabeth Casolo for Becker’s Hospital Review) Medicare Payment Advisory Commission insights, Congressional reports and enrollment data have all been
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The Medicare Advantage paradox: Who benefits most?
(By: Alan Condon for Becker’s Hospital Review) Medicare Advantage now covers about 55% of eligible beneficiaries (about 35 million people) and
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Iowa bill aims to hike HMO tax, bolster Medicaid
(By: Elizabeth Casolo for The Becker’s Hospital Review) Iowa lawmakers are weighing a bill, originally introduced March 13, that would
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