Incoming Trump administration is seen as pro-Medicare Advantage but many Republicans are concerned about the impact on ...

Humana’s Medicare Advantage headache is going from bad to worse. The number of Humana members enrolled in top-rated MA plans next year is expected to plummet, threatening the insurer’s ability ...

A study of millions of Medicare Advantage claims examined how costs associated with denials impacted providers ...

The changes would limit how insurers add patient diagnoses that trigger lucrative extra payments.

Sen. Thom Tillis (R-N.C.), a member of the Senate Finance Committee, said Thursday that GOP lawmakers are looking at changes to Medicare to root out waste, fraud and abuse. Republican senators are ...

The Centers for Medicare & Medicaid Services is set to overpay Medicare Advantage plans by up to $2 trillion over the ten years – in no small part thanks to private insurers duping the federal ...

After going to the trouble last fall of picking a new Medicare Advantage health plan, Wendy Sandstrom is dismayed she must do so again this year just to keep seeing her same doctors. The 69-year ...

If you’re steamed to discover your favorite doctor is no longer in your Medicare Advantage plan’s network, now is the time to make a change. Medicare Advantage enrollees can switch plans or ...

Since the mid-2000s, the Medicare system has dramatically transformed. Enrollment in Medicare Advantage – the private alternative to the traditional Medicare program administered by the ...

Medicare Advantage (Part C) doesn’t replace Original Medicare (parts A and B). Instead, it bundles the equivalent coverage to what’s offered by Medicare Part A and Medicare Part B into one ...