Medicare Advantage – Page 5 – medicarereport.org

Wednesday, May 21, 2025

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Medicare Advantage Prior Authorization

Eileen Cook January 29, 2025January 29, 2025 Medicare Advantage, Prior Authorization

Medicare Advantage Insurers Made Nearly 50 Million Prior Authorization Determinations in 2023

(By Jeannie Fuglesten Biniek, Nolan Sroczynski, Meredith Freed, and Tricia Neuman for The Kaiser Family Foundation Published: Jan 28, 2025)

Dental/Oral Health Medicare - General Medicare Advantage

Eileen Cook January 28, 2025January 28, 2025 Dental Care, medicare, Medicare Advantage, Older Adults

Unmet dental needs of Medicare Advantage members

According to a recently published study in the JAMA Health Forum, Medicare Advantage dental plans may create barriers to dental

CMS Health Care Finance Health Care Redesign Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook January 27, 2025January 27, 2025 CMS, Healthcare Costs, medicare, Medicare Advantage, Medicare Part D

This 2025 Medicare Change could reduce out-of-pocket expenses

Medicare changes every year, and 2025 was no exception. Although those changes usually involve higher premiums and deductibles for recipients,

CMS Health Care Finance Medicare Advantage

Eileen Cook January 24, 2025January 24, 2025 CMS, Healthcare Costs, Healthcare Finance, Medicare Advantage

2026 Medicare Advantage rates ‘inadequate,’ Elevance execs say

(By Rylee Wilson for Becker’s Hospital Review) CMS’ proposed Medicare Advantage rates for 2026 are moving in the right direction,

Health Care Finance Medicare - General Medicare Advantage

Eileen Cook January 23, 2025January 23, 2025 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Advantage Supplemental benefits

Medicare Advantage enrollment has increased

Of the Medicare-eligible individuals, 54 percent are enrolled in Medicare Advantage plans. Why has Medicare Advantage plan enrollment increased as

CMS Legal Actions/Court Decisions Medicare Advantage

Eileen Cook January 23, 2025January 23, 2025 CMS, Healthcare Finance, Medicare Advantage, Medicare Advantage Star Ratings

CMS appeals decision boosting UnitedHealth’s Medicare Advantage star ratings

(By Rylee Wilson for Becker’s Hospital Review) CMS is appealing a judge’s decision directing the agency to increase UnitedHealthcare’s star

FDA Health Care - General HHS Medicaid Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook January 22, 2025January 22, 2025 CMS, Healthcare Costs, Healthcare Finance, HHS, Medicaid, medicare, Medicare Advantage, Medicare Part D

How Does the Department of Health and Human Services (HHS) Impact Health and Health Care?

(By Rakesh Singh for The Kaiser Family Foundation Published: Jan 21, 2025) With President Trump now in office, his cabinet

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

Eileen Cook January 22, 2025January 22, 2025 CMS, CMS Fines, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Part D

CMS issues flurry of Medicare fines to payers

(By Jakob Emerson for Becker’s Hospital Review) CMS issued nearly $2.5 million in fines on Jan. 17 across multiple health

CMS Legal Actions/Court Decisions Medicare Advantage

Eileen Cook January 16, 2025January 16, 2025 CMS, Healthcare Finance, Lawsuits, Medicare Advantage, Medicare Advantage Star Ratings

Lawsuits over Medicare Advantage star ratings pile up

(By Rylee Wilson for Becker’s Hospital Review) CMS is facing at least a half-dozen lawsuits over its 2025 Medicare Advantage

CMS Health Care Finance Medicare - General Medicare Advantage

Eileen Cook January 15, 2025January 15, 2025 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Advantage Supplemental benefits, Older Adults

Does Medicare Advantage have better access to extra services?

A study by researchers at Mass General Brigham found that despite Medicare Advantage plans offering enhanced dental, vision, and hearing