Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Privatized Medicare Advantage plans overbill the U.S. federal government by up to $140 billion per year as they make patients ...

Statewide, 60% of Medicare eligible residents in Florida were enrolled in Medicare Advantage plans in 2023 compared to a ...

President Donald Trump was handed an opportunity to "save" Medicare Advantage after the Biden administration's final proposal ...

Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...

Medicare beneficiaries often pay monthly premiums, copays, annual deductibles and prescription drug costs. But what you may ...

Once a person buys a Medigap policy, it is guaranteed renewable. With few exceptions, the insurer must renew the policy each ...

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

Medicare Advantage enrollees can switch plans or transfer to original Medicare during the open enrollment period ending March ...

Kaleb Hoover of Nampa sentenced for fraudulently switching Medicare Advantage plans, facing probation and restitution after ...

Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, ...

Medicare Advantage open enrollment is underway and the last day to enroll is March 31, making this a crucial time to review ...