Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds
Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care -- for coverage denials, according to a report issued Thursday by the Senate Permanent Subcommittee on Investigations.
Senate report hits top 3 Medicare Advantage insurers over ‘refusal’ of of skilled nursing, other coverage
A Senate report published Thursday blasts the nation’s three largest Medicare Advantage insurers for increasingly limiting access to post-acute care and forcing vulnerable patients into “impossible choices” to protect profits.
34 Million Seniors in Medicare Advantage Plans Face Rude Awakening
October 15 marks the first day of open enrollment in Medicare Advantage (MA) plans – a time that will deliver chaos and confusion for many of the 34
Insurers cut Medicare Advantage plans in Oregon, leaving thousands to find new coverage
Thousands of Oregon seniors are set to lose their health plans as some Medicare Advantage carriers cut their offerings in response to rising costs. Moda Health and Summit Health will end their Medicare Advantage plans in Oregon in 2025.
What health systems seek in Medicare Advantage plan partners
Health systems are more likely to partner with Medicare Advantage plans when plans disclose reasonable claim denial processes, executives said.
Best Medicare Advantage Dental Plans Of 2024
The vast majority of Medicare Advantage plans include coverage for dental care, according to experts, but vary in terms of which expenses are covered and the network of dentists a plan provides. “Some plans cover dental implants and bridges, while others don’t, for example,” says Topolski.
Millions of Seniors Lose Their Medicare Advantage Coverage
Millions of seniors have been told they'll need to find new plans this fall after private insurers cut plans in markets across the country.
Costly mistakes to avoid when choosing a Medicare Advantage plan
Medicare offers many choices, and open enrollment is the time to reevaluate your coverage. In doing so, it is a good idea to forego assumptions and make sure your choices aren’t unnecessarily costing you money you could save by choosing differently.
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A former Medicare official says the program is in trouble, and Medicare Advantage is largely to blame
Medicare is in trouble, and it’s largely the fault of the Medicare Advantage program that is run by private insurers, ...
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U.S. Senate Subcommittee Raises Alarm Over Medicare Advantage’s Denial of Post-Acute Care
Medicare Advantage’s prior authorization has resulted in higher denial rates among three of the largest health insurance ...
Changes in store for Medicare Advantage as open enrollment starts
It’s a good idea to review your plans during open enrollment, which begins Tuesday, so you don’t get caught by surprise next ...
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Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows
The Senate report extensively cites STAT’s investigation of the use of algorithms and artificial intelligence within Medicare ...
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How Biden transformed Medicare Advantage
Medicare Advantage underwent a quiet metamorphosis under President Joe Biden. Health insurance companies are still scrambling ...
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Shift Towards Medicare Advantage Plans Anticipated Amid Rising PDP Premiums and Decreased Options | AMCP 2024
Crescent Moore, Ph.D., Pharm.D., Director of Part D/Pharmacy at BluePeak Advisors, highlights the expected shift of Medicare ...
Positive changes are coming to Medicare, but it’s still a complex choice
As Medicare open enrollment begins on Oct. 15 (and continues through Dec. 7), millions of older Americans face the dilemma of ...
Medicare Open Enrollment Is Full Of Surprises And Traps For Members
Medicare members should start early and review details of current and alternative plans. The best bet for many is to seek independent advice.