Medicare Advantage growth is being driven by these niche — and lucrative — plans

Growth in Medicare Advantage plans has slowed in the past year and would be almost nonexistent if not for specialty plans ...
Healthcare Dive

Medicare Advantage prior authorization denials increased in 2022: KFF

Medicare Advantage insurers fully or partially denied 7.4% of prior authorization requests in 2022, an increase compared to the previous three years, according to an analysis by health policy research ...
MedPage Today on MSN

Medicare Coverage Appears Spotty for Newer Rheumatoid Arthritis Meds

Advantage plans do a better job than standalone Part D policies, albeit with important gap ...
Los Angeles Times

When you want to leave your Medicare Advantage Plan — but feel stuck

About half of Medicare Advantage members left their plans by the end of five years, according to a 2023 study from Brown University School of Public Health. Most switched to another Medicare Advantage ...
Forbes

The Quality Of Medicare Advantage Plans...Ain’t What It Used To Be.

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. The Centers for Medicare and Medicaid Services is focused on ...
The American Journal of Managed Care

First-Time Medicare Advantage Enrollees Demonstrate Increasing Demographic and Clinical Diversity

Objectives: To examine demographic and clinical characteristics of first-time Medicare Advantage (MA) enrollees between 2012 and 2022 and to better understand changes in ...
Newsweek

Medicare Advantage to Be Radically Changed Under New Plan

Medicare Advantage plans could look dramatically different if a new law passes in the Senate. For years, seniors have complained about prior authorization ...
Morningstar

Most Medicare Advantage plans are free upfront. You still might not be able to afford one.

With copays and high out-of-pocket-maximums, a zero-premium plan can end up being very expensive if you get sick In the world of bargains, there's a difference between "free" and "free upfront." Free ...
McKnight's Long-Term Care News

Alzheimer’s beneficiaries benefited from Medicare Advantage risk adjustment model, study finds

Reintroducing Alzheimer disease and related dementias (ADRD) hierarchical condition categories (HCCs) into the Medicare Advantage (MA) risk-adjusted payment model was linked to improved care access ...
KCUR 89.3 FM

For seniors on Medicare Advantage, lower costs can mean gambling with health care

Medicare Advantage, a private alternative to traditional Medicare, offers extra benefits and low monthly premiums. However, prior authorizations and claim denials complicate this increasingly popular ...