Insurers like UnitedHealth may have to scale back benefits or raise prices, analysts say.

Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...

Medicare Advantage is a vital program, and policymakers must focus on stabilizing the program over undermining it, write ...

Medicare Advantage open enrollment is available for enrollees from now through March 31. What experts say you should know ...

Why the debate matters.

CMS proposes a 0.09% Medicare Advantage payment increase for 2027 and plans to eliminate chart review payments, impacting insurers’ revenue.

Politicians make the program a scapegoat for runaway entitlements.

Medicare Advantage is facing unprecedented challenges from a decrease in reimbursement rates and the federal government’s scrutiny of insurer business practices.

Medicare director Chris Klomp said the Trump administration is “massively” in support of MA as health insurers cry foul over the meager rate update.

(THE CONVERSATION) Since the mid-2000s, the Medicare system has dramatically transformed. Enrollment in Medicare Advantage – the private alternative to the traditional Medicare program administered by ...

Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...

The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...