The overall denial rate was 6.4% in 2023, the latest year data was available, according to an analysis by the nonprofit Kaiser Family Foundation. Seniors 65 and older who opt for a private Medicare ...

Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023, reflecting steady increases over the past few years as the number of MA enrollees has grown, according to ...

2. In 31% of metropolitan statistical areas, one health insurer held a market share of at least 50%. 3. UnitedHealth Group was the largest health insurer by market share in 42% of metropolitan ...

Last year, after the Biden administration made some tweaks to Medicare Advantage, the health insurance industry screamed to the heavens. Lobbying groups warned that seniors’ benefits would get slashed ...

The average Medicare beneficiary will have 43 Medicare Advantage plans to choose from in 2024, according to a new report from KFF. While this is the same number as in 2023, it’s more than double what ...

A bipartisan group of senators is urging the Biden administration to beef up the amount of data it collects from private Medicare plans in order to combat overpayments and improper care denials. Sen.

LOUISVILLE, Ky.--(BUSINESS WIRE)--Value-based care is smarter healthcare that lowers costs and keeps Medicare Advantage members healthier, according to the tenth annual Value-Based Care Report ...

The highest gross margins among insurers come from Medicare Advantage, which boasted gross margins per enrollee of $1,982 on average by the end of 2023, compared to $1,048 in the individual market, ...

Though a spike in utilization among seniors slammed payers last year, particularly in the fourth quarter, each of the six major national firms turned a profit in 2023. Leading the way, as per the norm ...

More than half of eligible beneficiaries are currently enrolled in a Medicare Advantage plan. While these plans commonly offer added benefits, they have their drawbacks, too. Once you turn 65, you're ...

Forbes contributors publish independent expert analyses and insights. When the most dominant player in a market stumbles, the rest of the industry pays attention. That’s precisely what happened last ...

Regarding "NJ residents face a 2023 health coverage deadline. Here's some advice," NorthJersey.com. Nov. 21: This year, the Affordable Care Act celebrated its 13th birthday amid enormous successes.