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

The nation’s two largest Medicare Advantage (MA) insurers say they support reforming the federal program to rein in certain ...

The change is part of a continuing effort for Florida Blue to drop some primary care physicians from insurance coverage ...

“There’s a lot of concern on Capitol Hill about Medicare Advantage,” Marshall said, adding that a plan backed by Republican ...

Humana faces significant earnings headwinds due to CMS reforms, star rating downgrades, and potential Medicaid clawbacks.

Humana remains a top-tier medical insurer, paying US caregivers to provide services through an integrated and value-based approach while also making the insurance experience easy to navigate for ...

Shares of health insurance company Humana (NYSE:HUM) fell 6.5% in the afternoon session after the Centers for Medicare & ...

Senate Republicans are considering cuts to Medicare spending to help pay for Donald Trump’s signature legislative package.

Medicare Advantage One leading proposal for Senate Republicans is clamping down on private Medicare Advantage insurers to make it harder to game the federal subsidy system by exaggerating the health ...

Shares of big health insurer were in the red Thursday after the Centers for Medicare and Medicaid Services (CMS) said it would expand auditing efforts for Medicare Advantage—the government-funded, ...

Why it matters: As the most concentrated MA insurer, Humana could be subject ... The 19% fair value change is driven more by the potential clawback of Medicare Advantage-related payments (15% ...