Automated health risk assessments powered by artificial intelligence are the latest tool to maximize Medicare Advantage ...

Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle ...

Democratic lawmakers are asking GOP leadership to reject Medicaid cuts in favor of going after Medicare Advantage “upcoding” ...

Advocates highlighted that program costs have seen margins fall sharply in the insurance sector. Enrolled older adults have ...

UnitedHealth Group seemed immune from the higher costs and systemic changes in the Medicare Advantage program that bedeviled ...

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 ...

Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for ...

Medicare Advantage and Part D Final Rule (Final Rule). With CMS releasing the 2026 Medicare Advantage and Part D Proposed ...

The federal Medicare program spends more per beneficiary for a person on Medicare Advantage than if the person were on ...

There are expenses that Medicare won't cover in 2025, and it's important to find other ways to cover these costs.

A report from the inspector general of HHS examines the latest trends since several biosimilar versions of Humira were ...

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 ...