One of the ways hospitals are generating more revenue is through ownership of doctors’...
Medicare
Medicare Advantage offers less care at greater cost
In a paper for JAMA Network, Adam Gaffney et al. suggest the time is ripe for cutting our losses in...
Issues with network adequacy and prior authorization in Medicare...
MedPAC, the Medicare Payment Advisory Commission, just released a report focused in part on...
Medicare will recalculate Medicare Advantage star ratings
Now two court cases in which insurers prevailed are leading the Centers for Medicare and Medicaid...
Humana and CVS will raise costs for Medicare Advantage enrollees...
Humana and CVS intend to raise premiums and reduce benefits on their MA plans in 2025, reports...
Medicare Advantage insurers increasingly use step therapy for...
A study by Avalere reveals that health insurers are increasingly delaying and denying drugs to...
Congress focuses on health care mergers and Medicare payments
As hospital systems and insurers continue to buy up medical practices and grow ever larger, the...
Scan Health plan wins suit against CMS on Medicare Advantage...
If you’re shopping for a Medicare Advantage plan, you might look at the number of stars the...
CVS plans to raise Medicare Rx premiums a lot in 2025
In an op-ed for MarketWatch, Brett Arens’s Roi warns about rising Medicare Part D premiums. The...
If Medicare Advantage can’t offer adequate provider...
People who need health care in Medicare Advantage too often find that the provider directories they...