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STAT+: Federal judge vacates rule that would have ramped up Medicare Advantage audits
26 Sep 2025 04:14 GMT
… audits of Medicare Advantage plans, which verify that the diagnoses Medicare Advantage plans record … 2023 RADV rule by expediting Medicare Advantage audits, including hiring more … ’ data. The government pays Medicare Advantage insurers more if their members …
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A Closer Look at the Growing Role of Special Needs Plans in Medicare Advantage
25 Sep 2025 20:34 GMT
… eligible beneficiaries have enrolled in Medicare Advantage. Amidst this growth, an increasing … -documented, however, that Medicare Advantage pays more for Medicare Advantage enrollees than spending would …
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Medicare Advantage customers need to be prepared to make a change
25 Sep 2025 19:07 GMT
… what happens, everybody’s current Medicare Advantage plan will stay in effect … a legislative committee that the Medicare Advantage insurance market for senior citizens … Dec. 7.
If an existing Medicare Advantage plan is dropped entirely, patients …
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<![CDATA[Contributor: Medication Adherence as a Journey—A Year-Round Strategy for Medicare Advantage Success]]>
25 Sep 2025 18:29 GMT
… , and the financial strength of Medicare Advantage (MA) plans.
When plans embed …
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Bipartisan bill would accelerate Medicare Advantage payments to providers
25 Sep 2025 17:52 GMT
… penalties for non-compliance.
The Medicare Advantage Prompt Pay Act, introduced in … due to delayed and inconsistent Medicare Advantage billing practices. Our bipartisan bill … released in August, found that Medicare Advantage plans pay physicians an estimated …
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Elevated utilization drove $5.7B Medicare Advantage underwriting loss in 2024: report
25 Sep 2025 17:29 GMT
Medicare Advantage (MA) has been a consistent … reported underwriting losses in 2024.
“Medicare Advantage enrollment and premium continue to … evaluate their position in the Medicare Advantage market for 2026."
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Trilogy Chief Medical Officer: Payers, SNF Providers Have Many Opportunities to Simplify Medicare Advantage
24 Sep 2025 22:17 GMT
… on finding ways to simplify Medicare Advantage practices.
The following transcript … most markets within our footprint Medicare Advantage plays a pretty significant … advise [skilled nursing providers] on Medicare Advantage, given your background, what would …
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In brief: National HME partnership, inventory inefficiency, Medicare Advantage delays
24 Sep 2025 13:58 GMT
… introduce bill to rein in Medicare Advantage delays
WASHINGTON – U.S. … bipartisan, bicameral legislation to improve Medicare Advantage’s billing practices.
The senators … legislation makes commonsense fixes to Medicare Advantage’s billing practices that will …
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Aetna expands program curbing hospital readmissions for Medicare Advantage members
24 Sep 2025 00:48 GMT
… prevent avoidable readmissions for its Medicare Advantage members.
The CVS-owned insurer …
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Area doctor discusses Medicare Advantage
23 Sep 2025 20:30 GMT
… Medicare & Medicaid Services.
Medicare Advantage, explained Unruh, is a different … ), virtually all enrollees in Medicare Advantage must obtain prior authorization for … requests.
Yet about 82% of Medicare Advantage denials are eventually overturned, …