A $375 million investment from Google's parent company, Alphabet, will help Oscar Health launch Medicare Advantage plans and deepen its presence in the individual and small-business markets.
Centene Corp. and Ascension signed a letter of intent to research launching a joint Medicare Advantage plan. The companies hope to hit several insurance markets in 2020.
The Pennsylvania Supreme Court reversed a lower court's ruling that UPMC had to cover Highmark Medicare Advantage members in-network through 2019, marking the end of a long-standing feud between the state's largest health system and insurer.
Medicare Advantage enrollees spend less time in nursing facilities after surgery and are less likely to be readmitted to the hospital when compared with those in traditional Medicare, according to a new report.
A new analysis in the New England Journal of Medicine found insurers may not offer a set of new benefits outlined in the Chronic Care Act to avoid chronically ill patients from joining their Medicare Advantage Plans.
HHS wants the U.S. Supreme Court to review a ruling that questions whether Medicare Advantage patients should factor into a provider's disproportionate-share hospital payment.
The CMS has started releasing information on millions of Medicare Advantage beneficiaries in an effort to help researchers better understand care trends for seniors.
April is National Minority Health Month. Along with the ongoing challenge of eliminating disparities in care, both insurance and access to care also vary based on race.
The CMS finalized a rule giving Medicare Advantage plans a bump in pay. The agency also will use more patient-care data when setting rates. The GAO has in the past questioned the accuracy of patient encounter data.
UPMC is still quietly fighting to end its relationship with Highmark Health's Medicare Advantage program in Pennsylvania.
Several lawmakers have asked the Trump administration to boost Puerto Rico's Medicare Advantage rates, which are now 43% below the national average, citing troubling access to care issues on the island.
Hospitals fear UnitedHealth's new emergency department payment policy, which comes on the heel's of rival insurer Anthem's controversial ED policy, could squeeze providers' revenue.