Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...

Insurers like UnitedHealth may have to scale back benefits or raise prices, analysts say.

Medicare Advantage is a vital program, and policymakers must focus on stabilizing the program over undermining it, write ...

Medicare Advantage open enrollment is available for enrollees from now through March 31. What experts say you should know ...

Why the debate matters.

Medicare Advantage is facing unprecedented challenges from a decrease in reimbursement rates and the federal government’s ...

Politicians make the program a scapegoat for runaway entitlements.

CMS proposes a 0.09% Medicare Advantage payment increase for 2027 and plans to eliminate chart review payments, impacting insurers’ revenue.

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...

As more hospitals and health systems grow frustrated with Medicare Advantage plans, Ascension is among the organizations rethinking how — and whether — to continue participating. Delays in care, high ...

Rising costs coupled by flat rates set by the Trump administration for Medicare Advantage could trigger withdrawals of health insurers from markets across the U.S.

Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...