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The Latest Breaking News from Medicare Advantage

Feds move to rein in prior authorization, a system that harms and frustrates patients

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest.

Tribune News Service

Why CVS Health CEO Karen Lynch wore a 'taking up space' T-shirt on her first day

As CVS starts offering primary care services, the CEO talks full-service health care.

Fortune

How major retailers are trying to change how America consumes health care

Amazon, Walmart, CVS, Dollar General and other big retailers are elbowing their way into primary care, pushing a customized consumer experience driven by digital health products.

Axios

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read the most diverse news in one place.

Aggressive Medicare Advantage marketing floods TV and mailboxes with misleading ads. The Biden administration is cracking down

“These third-party groups have gotten very aggressive and creative.”

Fortune

Big Insurance "bailed out by taxpayers"

"The premiums and taxes paid by Americans enabled the Big Seven to make those profits," advocate says

Salon

The politics of Medicare funding - Roll Call

CQ Budget podcast unpacks the basis of GOP claims that the Biden administration wants to cut benefits in Medicare Advantage plans.

Roll Call

Insurers, Republicans square off with Biden on Medicare ‘cuts’

WASHINGTON — The insurance industry and Republicans are using the debt ceiling fight and President Joe Biden’s vows not to cut Medicare to fend off changes to private Medicare Advantage plans, which are popular among the public but have faced criticism about their costs to the government.

Tribune News Service

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The 5 most important things to know about Medicare so you don't overpay

Medicare can be complicated to navigate. Author and expert Diane Omdahl has the answers to your hard questions.

Fortune

Insurers, Republicans square off with Biden on Medicare 'cuts' - Roll Call

Medicare Advantage, a Medicare alternative primarily run by private health insurers, becomes a battleground in the war over federal spending.

Roll Call

It's Medicare Open Enrollment season. Here's what to consider if you want to change plans

Medicare recipients have the opportunity to change their plans between Jan. 1 and March 31.

Fortune

CVS buys Chicago-based Oak Street Health for $10.6B

Oak Street Health runs primary care centers mostly for lower-to-middle income people with Medicare Advantage plans.

Chicago Sun-Times

CVS acquires Oak Street primary care for $10.6 billion

CVS Health is plunging deeper into providing primary care with an approximately $10.6 billion deal to acquire Oak Street Health

The Independent UK

What’s new for Medicare in 2023?

A new year means changes to Medicare, including updated premiums and deductibles and sometimes big policy moves

The Independent UK

They openly ripped off Medicare

Health plans will be allowed to pocket hundreds of millions of dollars in overcharges for audits before 2018

Salon

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Chicago Sun-Times

Medicare Advantage plans overcharged government hundreds of millions but get to hang onto the money

The federal Medicare agency will require next to nothing from insurers for excess payments they got from 2011 to 2017 and won’t impose big penalties until audits for 2018 and beyond are conducted, which could be years.

The Independent UK

Feds expect to collect $4.7B in insurance fraud penalties

The Biden administration is estimating that it could collect as much as $4.7 billion from insurance companies with newer and tougher penalties for submitting improper charges on the taxpayers’ tab for Medicare Advantage care

Salon

Did your health plan rip off Medicare?

Previously secret government audits reveal millions of dollars in overpayments to Medicare Advantage health plans

Fortune

Medicare coverage can be a bit of a mystery: Here are the big coverage gaps to watch out for

Navigating Medicare can be confusing, especially when you’re trying to understand what the insurance actually covers.

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The Independent UK

Why do so many older adults choose Medicare Advantage?

In 2022, 48% of Medicare beneficiaries were enrolled in Medicare Advantage plans instead of original Medicare, and experts predict the number will be higher in 2023

inkl

Medicare Starter Guide

Medicare is a federal health insurance program available to people 65 years of age or older, as well as to people with certain disabilities

Tribune News Service

Providers say Medicare Advantage hinders new methadone benefit

In 2018, responding to a wave of overdose deaths, Congress passed legislation requiring Medicare to pay for services at opioid treatment programs for the first time.

Roll Call

Providers say Medicare Advantage hinders new methadone benefit

A new benefit aimed at helping treat opioid use disorder can be hard to access for those who use Medicare Advantage plans, advocates say.

StockNews.com

3 Stocks to Help You Get Through Today's Market Fear

Instead of a Santa Claus rally, the market continues to experience volatility at the end of the year with uncertainties surrounding the reopening of the Chinese economy and a looming recession due to seemingly unending interest rate hikes. Given this backdrop, loading up on fundamentally strong stocks Walmart (WMT), Pfizer…

Salon

Did Medicare Advantage plans overcharge?

Some Medicare Advantage plans failed to produce any records to justify their payments, government records show

Tribune News Service

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

In April 2016, government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical records of patients treated by a podiatry practice whose owner had been indicted for fraud.

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