News

Modern Healthcare14h
AI health risk assessments aim to boost Medicare Advantage pay
Automated health risk assessments powered by artificial intelligence are the latest tool to maximize Medicare Advantage ...
Democrats push GOP toward Medicare ‘upcoding’ instead of Medicaid cuts
Democratic lawmakers are asking GOP leadership to reject Medicaid cuts in favor of going after Medicare Advantage “upcoding” ...
Democrats Urge GOP To Target Medicare Advantage 'Upcoding' Instead Of Medicaid Cuts, Calling Budget Plan A 'Man-Made Disaster'
Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle ...
Trump’s benchmark payment rate increase for insurance companies? It comes at a cost, both for insurers and Americans — here’s the skinny for older adults in the Me…
Advocates highlighted that program costs have seen margins fall sharply in the insurance sector. Enrolled older adults have ...
STAT3d
Medicare Advantage challenges catch up to UnitedHealth
UnitedHealth Group seemed immune from the higher costs and systemic changes in the Medicare Advantage program that bedeviled ...
STAT4d
Democrats urge Republicans to target Medicare Advantage ‘upcoding’ instead of cutting Medicaid
Republicans are considering deep cuts to Medicaid to pay for tax cuts. Democrats say they should go after Medicare Advantage ...
Healthline3d
Original Medicare (Parts A and B) vs. Medicare Advantage (Part C)
Original Medicare and Medicare Advantage (Part C) cover hospitalization, medical appointments, and other healthcare costs. Original Medicare is government-run, while Medicare Advantage plans are ...
NYC union yanks backing for one Council member, pulls cash to others over Medicare Advantage beef
DC 37, the city’s largest public sector union, has rescinded its endorsement of one City Council member and committed to stop donating to several others in retaliation for their support of a ...
Wisconsin Watch on MSN4d
Does Medicare Advantage cost more than traditional Medicare?
The federal Medicare program spends more per beneficiary for a person on Medicare Advantage than if the person were on ...
Managed Healthcare Executive6d
Will the Trump Administration Advantage Medicare Advantage?
Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for ...
What costs does Medicare not cover in 2025?
There are expenses that Medicare won't cover in 2025, and it's important to find other ways to cover these costs.
City Journal7d
Should Medicare Cover Golf Fees?
But poorly structured payments for Medicare Advantage—a program that pays private insurers to manage seniors’ health coverage—have led to taxpayer dollars increasingly being used for non-medical perks ...