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It’s obscene: Inside the Medicare Advantage sham
The Raw Story· 1 day agoWhen George W. Bush and congressional Republicans (and a handful of bought-off Democrats) created Medicare Advantage in 2003, it was the fulfillment of...
Move over, Medicare Advantage — UnitedHealth, Centene flag higher Medicaid utilization concerns
Healthcare Dive via Yahoo Finance· 1 day agoInsurers are already struggling to manage elevated spending in Medicare Advantage. But now, another...
Does medicare cover cataract surgery and how much does it cost?
KTBS Shreveport· 2 days agoIf you’re new to Medicare or making different elections for the coming year, you may be wondering...
Medicare Advantage for feds: How it works and what it can save you
Federal Times· 3 days agoFor plan year 2024, the Office of Personnel Management highlighted how Medicare Advantage plans can unlock Part D drug coverage and other savings on out-of-pocket ...
When ‘Prior Authorization’ Becomes a Medical Roadblock
New York Times· 6 days agoMedicare Advantage plans say it reduces waste and inappropriate care. Slowly but steadily, Marlene...
Medicare drug plans are slashing drug coverage — and it’s going to impact everyone
MarketWatch via Yahoo Finance· 20 hours agoMeanwhile, in a twist that you would struggle to make up, these exclusions and restrictions affect...
Clover Health selling AI tool to payers, providers
Modern Healthcare· 2 days agoClover Health will sell its artificial intelligence-powered software to third-party providers and Medicare Advantage insurers through a new subsidiary named ...
Health system-payer negotiations 'coming to a head'
Becker’s Hospital Review· 1 day agoContract negotiations between health systems and payers are a routine part of doing business, but ongoing cost and workforce pressures, inflation and widespread Medicare & ...
Your doctor or your insurer? Little-known rules may ease the choice in Medicare Advantage.
The Frederick News-Post· 3 days agoBart Klion, 95, and his wife, Barbara, faced a tough choice in January: The upstate New York couple...
Providers want better Medicare Advantage prior auth data
Becker’s Hospital Review· 2 days agoThe Medical Group Management Association said that as the number of Medicare Advantage beneficiaries continues to grow, "it is imperative that the MA program ...
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