Medicare Advantage – Page 35 – medicarereport.org

Friday, September 11, 2026

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CMS Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Eileen Cook December 21, 2023December 21, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Claw back

Feds want Humana’s Medicare Advantage clawback lawsuit thrown out

(By Rylee Wilson for Becker’s Hospital Review ) The Justice Department wants Humana’s lawsuit challenging a CMS rule that would

CMS Medicare Advantage

Eileen Cook December 18, 2023December 18, 2023 CMS, Medicare Advantage, Medicare Advantage Star Ratings

Hospitals ask CMS to add Medicare Advantage denial rates to star ratings

(By Rylee Wilson for Becker’s Hospital Review ) The Federation of American Hospitals is asking CMS to include how often

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

Eileen Cook December 14, 2023December 14, 2023 CMS, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Advantage, Medicare Part D, Older Adults, Out-of-pocket prescription costs

The New Help for Medicare Beneficiaries with High Drug Costs That Few Seem to Know About

(By Juliette Cubanski and Tricia Neuman for the Kaiser Family Foundation Published: Dec 12, 2023) The Inflation Reduction Act of

Artificial Intelligence Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Eileen Cook December 14, 2023December 14, 2023 AI, Care Coordination and Integrated Case Management, Denied Medicare Advantage Claims, Medicare Advantage, nH Predict, Older Adults

Humana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges

(By Jakob Emerson for Becker’s Hospital Review ) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully

CMS Health Care Finance Health Care Redesign Legislative Update Medicare - General Medicare Advantage Part D/Prescription Drugs Price Transparency

Eileen Cook December 11, 2023December 11, 2023 Drug price Transparency, Healthcare Costs, medicare, Medicare Advantage, Medicare Advantage transparency, Medicare Part D, PBM

Medicare bills pass House committee: 3 things to know

(By Rylee Wilson for Becker’s Hospital Review ) The House Energy and Commerce Committee advanced 19 pieces of legislation Dec.

CMS Health Care Finance Medicare Advantage

Eileen Cook December 7, 2023December 7, 2023 CMS, medicare, Medicare Advantage, Medicare Part D, Mergers, Older Adults

Is the Medicare Advantage ‘gold rush’ over?

(By Rylee Wilson for Becker’s Hospital Review ) The Medicare Advantage gold rush is slowing down, Wall Street Journal columnist

CMS DHS -OIG Health Care Finance Medicare Advantage

Eileen Cook December 5, 2023December 5, 2023 CMS, DHS -Office of Inspector General, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Audits, Medicare Advantage Overpayments

10 payers audited for Medicare Advantage overpayments in 2023

(By Rylee Wilson for Becker’s Hospital Review ) OIG audits found over $213 million in estimated Medicare Advantage overpayments in

DHS -OIG Medicare Advantage

Eileen Cook December 4, 2023December 4, 2023 CMS, DHS -Office of Inspector General, Medicare Advantage, Medicare Advantage Overpayments

OIG: Centene subsidiary received estimated $5.1M in Medicare Advantage overpayments

(By Rylee Wilson for Becker’s Hospital Review ) SelectCare of Texas, a Centene subsidiary, received an estimated $5.1 million in

Health Care Finance Health Insurance Medicare Advantage

Eileen Cook November 30, 2023November 30, 2023 Cigna Group, Health Insurance, Health Insurance companies, Humana, Medicare Advantage, Merger

Cigna, Humana ‘in talks’ to merge

(By Jakob Emerson for Becker’s Hospital Review ) The Cigna Group and Humana are “in talks” to merge, The Wall

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook November 30, 2023November 30, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Ads, Medicare Part D, Older Adults

Uncle Sam Wants You … to Help Stop Insurers’ Bogus Medicare Advantage Sales Tactics

(By Susan Jaffe for KFF Health News) After an unprecedented crackdown on misleading advertising claims by insurers selling private Medicare