The cuts will mean turmoil and confusion for many beneficiaries, as well as the risk of higher premiums, fewer benefits or ...

Rising health insurance exhange enrollment, paired with stricter Medicare marketing rules, attracted rogue actors to the ...

Once you've selected a new Medicare Advantage plan, it will take effect in the month following your request to change. For ...

Key Takeaways Humana expects Medicare Advantage members to decline in 2025, following a downgrade to the quality rating of ...

One of the most critical healthcare institutions in the United States, Medicare is a staple for many people seeking ...

Since expenditures are heavily skewed, the top 5 percent of patients by cost contribute a disproportionate amount to the mean ...

Overall Medicare Advantage plans denied 6.4% of prior authorization requests in 2023. Prior authorization was needed 1.8 ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...

A specific Medicare Advantage plan has sparked confusion online after a new deductible took effect this year. The Cigna True ...

Medicare Advantage enrollees can switch plans or transfer to original Medicare during the open enrollment period ending March ...

Anthem Blue Cross Blue Shield customers using Medicare Advantage plans will no longer pay in-network rates at University of ...