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Humana and CVS are downsizing their Medicare Advantage plans for 2025. Which insurers could benefit?
Healthcare Dive· 1 day agoHumana and CVS, two of the largest Medicare Advantage insurers in the country, are poised to seriously downgrade their plan benefits and geographic presence next year as they ...
The average retired American faces these new Medicare changes in 2025
TheStreet.com· 19 hours agoA policy announced by the Centers for Medicare and Medicaid Services involves maximum out-of-pocket expenses for seniors. There are many concerns Americans regularly confront ...
Insurers bridle over Medicare transparency push
Politico· 3 days agoIt didn’t directly address prior authorization. UnitedHealth Group called on CMS to facilitate “more transparent comparisons” between MA and traditional Medicare& ...
Humana and CVS are downsizing their Medicare Advantage plans for 2025. Which insurers could benefit?
Healthcare Dive via Yahoo Finance· 1 day agoHundreds of thousands of seniors could switch plans during next year’s open enrollment, depending on...
Scan Health Plan wins Medicare Advantage star ratings lawsuit
Healthcare Dive via Yahoo Finance· 3 days agoThe insurer argued the CMS didn’t follow its stated methodology for calculating quality scores,...
AHA lays into proposed inpatient payment rule
Becker’s Hospital Review· 1 day agoThe group is asking CMS to use its authority to make a one-time retrospective adjustment to account for what it missed in the 2022 market basket forecast. The group is also ...
NC regulators give OK to Asheville's Mission/HCA; hospital was sanctioned after deaths
Gannett via AOL· 3 days agoDepartment of Health and Human Services has sent their recommendation to CMS and we are awaiting...
Medicare set-aside reporting rule signals major change for comp - Business Insurance
Business Insurance· 2 days agoEmployers, insurers and claimants should start planning for changes to how Medicare’s liabilities...
Medicare Advantage sales middleman sues HHS over rule capping broker compensation
Healthcare Dive via Yahoo Finance· 4 days agoAmeriLife’s suit joins at least two others from MA sales groups seeking revisions to the rule for...
Scan Health Plan wins Medicare Advantage star ratings lawsuit
Healthcare Dive· 3 days agoMedicare Advantage star ratings, which it argued could cost the insurer millions of dollars. The case centered around recent changes in how the CMS determined ...