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

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

Why the debate matters.

Rising costs coupled by flat rates set by the Trump administration for Medicare Advantage could trigger withdrawals of health ...

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...

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

The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...

Although hospital-owned plans are only a sliver of the Medicare Advantage market, their enrollment continues growing.

Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...

A new Oklahoma executive order on Medicare Advantage may go further than any other state initiative to rein in practices largely seen as unfavorable to both beneficiaries and providers.

Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes. But some health policy ...

Politicians make the program a scapegoat for runaway entitlements.