STAT

CMS recalculates Medicare Advantage star ratings again, adding more volatility to program

Medicare Advantage plans that receive four out of five stars or better get bonus payments, which have ballooned to $16 ...
KCUR 89.3 FM

For seniors on Medicare Advantage, lower costs can mean gambling with health care

Medicare Advantage, a private alternative to traditional Medicare, offers extra benefits and low monthly premiums. However, prior authorizations and claim denials complicate this increasingly popular ...

A new bill would cap Medicare enrollees’ annual expenses at $5,000 — and could cost the government ‘tens of billions’

The long-shot proposal would guarantee some cost protection to all people with Medicare.
JD Supra

The Medicare Advantage Program: Public Money & Private Insurance Companies

When I investigated and litigated False Claims Act (FCA) cases at the U.S. Department of Justice (DOJ) over the last 10 years, I was often surprised by just how little I knew about the broad array of ...

How Fully Integrating Medical And Long-Term Care Benefits Older Adults

Seniors in PACE, which fully integrates medical care with personal care and other services were less likely to visit ...
Morningstar

Medicare Advantage crisis deepens as Dr. Oz launches 'aggressive' audits

The plan to investigate the private health-insurance companies that run Medicare Advantage has been drastically expanded If the Medicare Advantage program isn't in crisis, it's doing a terrific ...

Medicare's prior authorization experiment is off to a rocky start

A new pilot program bringing prior authorization, including using AI to review requests for care, to parts of traditional ...