Politicians make the program a scapegoat for runaway entitlements.
Insurers like UnitedHealth may have to scale back benefits or raise prices, analysts say.
Why the debate matters.
Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...
Providence CEO calls Medicare Advantage reset as hospitals exit networks over reimbursement and authorization issues, urging federal intervention.
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...
The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...
A new Oklahoma executive order on Medicare Advantage may go further than any other state initiative to rein in practices largely seen as unfavorable to both beneficiaries and providers.
In the largest Medicare Advantage fraud settlement to date, Oakland, Calif.-based Kaiser Permanente agreed to pay $556 million to resolve allegations it violated the False Claims Act by submitting ...
Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...
Lawmakers and Medicare rights groups say the Trump administration is withholding details of a pilot program that will use ...
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