News

Medicare Advantage’s ‘secretive maze’ of costly marketing and incentives needs an overhaul, Senate report says
The “secretive maze of marketing and enrollment incentives” surrounding Medicare Advantage costs taxpayers extra money and ...
Healthcare Dive12h
CMS rejects Humana’s Medicare Advantage star ratings appeal
The decision, which Humana disclosed in a Tuesday filing with the court overseeing its lawsuit against the HHS, will be ...
Dr. Oz’s impact on Medicare and Medicaid: Key insights for retirees
So far, Oz has been tight-lipped on what he thinks about potential cuts to Medicaid, dodging questions during his hearings ...
Health Affairs13h
How Medicare Advantage Is Helping Bend The Cost Curve
As policy makers consider programmatic changes that would restrict MA plans’ ability to manage care, they should be mindful ...
How much will Medicare Advantage payments increase in 2026? The latest policy update
The Centers for Medicare & Medicaid Services (CMS) recently unveiled its finalized policies for the 2026 Medicare Advantage ...
Becker's Hospital Review10d
CMS tables GLP-1, AI prior auth policies in Medicare Advantage final rule: 14 things to know
CMS has published its final rule for Medicare Advantage and Part D in 2026, outlining a series of regulatory updates aimed at ...
Fierce Healthcare13d
Medicare Advantage final rule excludes anti-obesity drug coverage under Medicare, Medicaid
The Centers for Medicare & Medicaid Services (CMS) finalized a Medicare Advantage (MA) rule proposed by the Biden ...
Becker's ASC9d
CMS posts Medicare Advantage final rule: 5 things to know
CMS has released its final rule for Medicare Advantage and Part D for 2026, introducing several regulatory changes aimed at ...
American Hospital Association10d
CMS finalizes CY 2026 Medicare Advantage, Part D rates
The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare ...
Medicare Advantage payments to increase again in 2026: It will be more than double what was originally proposed
Big news for Medicare Advantage fans-payments to these popular plans are set to jump again in 2026, and it's a hefty boost that's turning heads. The Centers for Medicare & Medicaid ...
Fierce Healthcare9d
CMS finalizes 5.06% Medicare Advantage benchmark increase
The Centers for Medicare & Medicaid Services (CMS) finalized an increase of the average benchmark payments to Medicare Advantage (MA) plans by 5.06%, or $25 billion, on Monday. It is nearly a ...
Modern Healthcare13d
CMS punts on Medicare Advantage AI prior authorization, marketing
In the Medicare Advantage and Part D final rule for 2026 issued Friday, the Centers for Medicare and Medicaid Services delayed final decisions on expanding what counts as Medicare marketing ...