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Traditional Medicare or Medicare Advantage? Some retirees aren’t allowed to choose
Fortune· 5 days agoInstead, they’re told they can enroll only in a Medicare Advantage plan, with its limited network of doctors and hospitals, even if they ...
Ask Kevin: I enrolled in a Medicare Advantage plan. Can I switch back?
Federal Times· 5 days agoWhen I retired, my wife and I were covered by GEHA and Medicare. In January 2025, I switched to the GEHA/United Health Care Medicare Advantage ...
CMS recalculates Medicare Advantage star ratings in major win for insurers
Healthcare Dive· 1 day agoThe CMS has recalculated plans’ quality ratings in the Medicare Advantage program after a series of court rulings challenging the agency’s methodology in ...
Medicare will recalculate quality ratings of Medicare Advantage Plans, WSJ reports By Reuters
Investing.com· 2 days agoThe move could deliver hundreds of millions in additional bonus payments to insurers next year,...
Ask Kevin: What can a Medicare Advantage plan do for someone in IRMAA?
Federal Times· 3 days agoAre there significant costs that Medicare Advantage plus VA covers that is significantly better than FEHB plus VA coverage? The only thing I could think ...
Medicare will recalculate quality ratings of Medicare Advantage Plans, WSJ reports
Reuters· 2 days agoThe federal government plans to redo this year's quality ratings of private Medicare plans, the Wall Street Journal reported on Thursday, citing people familiar with the matter. The move could ...
Elevance nabs win in Medicare Star Ratings lawsuit
Modern Healthcare· 5 days agoSCAN Health Plan won a similar case before the same court last week. The U.S. District Court for the District of Columbia decision in the Elevance Health...
State Health Plan board approves limited 2025 premium hikes
Winston-Salem Journal· 4 days agoThe board voted Thursday to increase premiums for 27,700 beneficiaries on its Humana Medicare ...
OIG Testimony Puts a Spotlight on Clinical Documentation and Payer Risk | JD Supra
JD Supra· 1 day agoGrimm, Inspector General of the Department of Health and Human Services (HHS) discussed critical issues surrounding risk adjustment in Medicare Advantage
Bipartisan prior authorization legislation introduced - Roll Call
CQ Politics· 3 days agoTwo key lawmakers reintroduced a bill on Wednesday that would essentially codify parts of a Biden...