Payers
Elevance estimates it will take $935m to avoid sanctions
CMS threatened sanctions in February after years of alleged noncompliance with Medicare Advantage requirements.
Medicare Advantage
Expert reporting on Medicare Advantage that breaks down the complex issues and emerging trends currently facing healthcare industry leaders.
Payers
What does a star system makeover mean for Medicare Advantage?
One researcher says the changes do not fix fundamental problems with the system.
Payers
Medicare Advantage overpayments are costing traditional Medicare, too
Beneficiaries are bearing the burden of overpayments.
Payers
What happens when nearly an entire state is kicked off Medicare Advantage?
Forced disenrollments are spiking for MA beneficiaries as payers reduce options, a new study finds.
Payers
CMS threat to Elevance could bring financial consequences
A long-running dispute over risk scores is coming to a head.
Payers
Insurers embrace special needs plans, even as they move away from Medicare Advantage
It’s a tale of two Medicare Advantages.
Payers
Are Medicare Advantage rates as bad as they look?
New MA payment rates have spooked investors, but the math suggests insurers may be crying wolf.
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