The CMS' proposed changes to the Medicare Advantage program and Medicare prescription drug plans aim to reduce opioid abuse among seniors and dual-eligibles and lessen regulatory burdens for Advantage plans.
The health plan star ratings have come under fire for not including more outcomes measures. Do these measurements reflect the outcomes that matter most to improving care?
The U.S. Justice Department dumped its lawsuit accusing UnitedHealth Group and affiliated health plans of exaggerating how sick its patients were to score millions of dollars in inflated Medicare Advantage payments.
Data released Wednesday reveal that the number of 2018 Medicare Advantage plans that performed well in the CMS' star-ratings program dropped slightly from 2017. At the same time, the amount of insurers that receive certain ratings hasn't changed significantly in recent years.
Cleveland Clinic is working with Anthem Blue Cross and Blue Shield in Ohio to offer a new Medicare Advantage plan, continuing the health system's recent pattern of partnerships with insurance companies.
A federal judge tossed the Department of Justice's suit claiming UnitedHealth Group scored millions in inflated Medicare Advantage payments, striking a blow against the feds' latest attempt to fight medical upcoding and alleged fraud.
Cleveland Clinic and Humana are creating two $0 premium Medicare Advantage health plans for seniors in the Cleveland area. The new plans build upon an existing value-based care agreement between the two organizations.
As the CMS seeks to crack down on the accuracy of Medicare Advantage provider networks, plans worry they don't have the guidance they need to avoid being penalized.
A fast-growing Chicago company that provides primary care for the elderly has inked what could be a lucrative deal to join Aetna's Medicare Advantage network.
Insurers are grappling with how to manage their government and individual lines of business, with mixed results.
Bloomfield, Conn.-based Cigna may immediately resume marketing its Medicare Advantage plans and enrolling members. Insurance industry analysts noted that the lifted sanctions pave the way for Cigna to pursue an acquisition in the lucrative Medicare Advantage segment.
The Department of Justice's increased focus on investigating alleged fraud in the Medicare Advantage program is likely to change the way insurers do business, according to lawyers who specialize in False Claims Act suits.