The healthcare giant agreed to a $556 million settlement over claims it overstated illnesses to increase Medicare Advantage ...

As of 2025, 54% of all Medicare beneficiaries were enrolled in Medicare Advantage (MA). The average Medicare beneficiary had a choice of over ...

GoodRx reports five major changes to Medicare in 2026, including a $2,100 Part D out-of-pocket limit, prior authorization for some services, and auto-renewal for payment plans.

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

The findings are “very depressing,” one commissioner said. Still, it’s a smaller sum than in 2025, thanks to the continued ...

Why the debate matters.

The comment period for the Centers for Medicare & Medicaid Services' proposed rule for policies governing the Medicare Advantage and Part D programs for contract year 2027 ends Jan. 26.

For more than a decade, hospitals have worked to help older adults avoid repeated inpatient stays, incentivized by a federal program that cuts Medicare reimbursements if hospitals have ...

In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente (KP) has agreed to pay $556 million to settle ...

UnitedHealth Group leveraged “aggressive strategies” to get higher-paying Medicare Advantage diagnoses, according to a Jan. 12 Senate report that Becker’s viewed. The Wall Street Journal initially ...

UnitedHealthcare launches accelerated Medicare payment program to halve processing times for rural hospitals in four states, improving cash flow.

For more than a decade, hospitals have worked to help older adults avoid repeated inpatient stays, incentivized by a federal ...