STAT+: New Medicare Advantage star ratings give extra bonuses to multiple insurers
More than two dozen Medicare Advantage insurers received higher quality marks for 2024, based on…
Category: medicare advantage
Stop blindly allowing MA plans to use AI to deny care, lawmakers urge Biden administration
A bipartisan group of lawmakers is urging the Biden administration to prohibit Medicare Advantage insurers…
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STAT+: Why health care spending keeps climbing
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow…
STAT+: Biden administration to recalculate Medicare Advantage quality ratings and bonuses
The federal government is rescoring the quality ratings of this year’s Medicare Advantage plans, which…
STAT+: Medicare Advantage insurers pressure Biden administration for bigger payments
The public will soon find out whether the federal government is willing to meet the…
Medicare Advantage’s 33 million club
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: Medicare Advantage enrollment races past 33 million
Roughly 33.4 million adults older than 65 and people with disabilities were enrolled in a…
STAT+: Private equity investment in Medicare Advantage drops
Major insurance companies like UnitedHealthcare and Humana have edged out private equity firms from investing…
No one’s pleased with the government’s pitch for 2025 Medicare Advantage rates
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: Government warns Medicare Advantage insurers not to deny care based on AI
In recent months, the federal government has repeatedly told Medicare Advantage insurers that they cannot…
STAT+: Cano Health’s downfall offers a warning for Medicare Advantage
Private Medicare just isn’t the gold mine it once was. Case in point: Cano Health,…
Let the Medicare Advantage lobbying begin
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: New Medicare Advantage rule is boon for providers, drag on insurers
Starting this year, private Medicare plans have to cover their members’ hospitalizations at the higher…
STAT+: Devoted Health’s losses in Medicare Advantage persist
Devoted Health has been one of the most prominent health insurance and provider startups of…
STAT+: Medicare Advantage insurers face slight proposed cut to 2025 payments
The federal government is cutting the average benchmark payments for 2025 Medicare Advantage plans by…
Cigna to sell Medicare Advantage plans to Blue Cross Blue Shield insurer for $3.3 billion
Cigna is officially exiting the Medicare business, agreeing to sell all of its Medicare insurance…
STAT+: Democrats urge government to rein in Medicare Advantage overpayments and denials
The Biden administration is about to set the ground rules for next year’s Medicare Advantage…
STAT+: Humana projects a tough road for Medicare Advantage, sinking its stock
Humana’s Medicare Advantage business is faring even worse than the company let on last week,…
Medicare Advantage update pushes Wall Street to reset expectations
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: Fiery MedPAC meeting highlights massive overpayments in Medicare Advantage
Medicare Advantage is arguably the most controversial health care program right now — a sentiment…
STAT+: CVS Health sees Medicare Advantage patients seek more care, eating into profits
Medicare Advantage members continue to go to the doctor and get health care procedures a…
STAT+: UnitedHealth faces class-action lawsuit over algorithmic care denials in Medicare Advantage plans
A class-action lawsuit was filed Tuesday against UnitedHealth Group and a subsidiary alleging that they…
STAT+: Government looks to tinker with new caps on Medicare Advantage broker payments
The federal government is proposing to rein in health insurance companies that entice brokers with…
STAT+: UnitedHealth discontinues a controversial brand amid scrutiny of algorithmic care denials
UnitedHealth Group and Optum are getting rid of the name of their tech-driven care management…
STAT+: Humana CEO Bruce Broussard to step down next year
Bruce Broussard, CEO of health insurance giant Humana, will step down next year after leading…
STAT+: Cigna to pay $172 million in Medicare Advantage fraud settlement
Health insurer Cigna is paying more than $172 million to settle allegations that it committed…
STAT+: Bright Health looks to get out of health insurance entirely
Bright Health Group started as a health insurance company. But it will no longer be…
STAT+: Key senators blast Medicare Advantage insurers for ‘exorbitant salaries,’ ‘massive payouts’ to execs
WASHINGTON — Sens. Elizabeth Warren (D-Mass.) and Jeff Merkley (D-Ore.) slammed seven different Medicare Advantage…