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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.
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
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.
CareNu Subsidiary SECUR Launches Medicare Advantage Health Plan
New Institutional Special Needs Plan offers tailored care to patients with advanced chronic illness. TAMPA, Fla., Oct. 16, 2024 /PRNewswire/ -- CareNu,
CarePlus Health Plans Announces Enhancements To Medicare Advantage Plans For 2025 - Quick Facts
CarePlus Health Plans announced enhancements to its Medicare Advantage plans for 2025. The CareAccess plan allows members to see
CarePlus Announces Medicare Advantage Plan Offerings for 2025
"Our top priority is to provide affordable healthcare solutions that cater to the individual needs of our members," said Steven Ruiz, President of CarePlus Health Plans. "As we enter our 25th year exclusively serving Florida's Medicare-eligible population,
1h
on MSN
Thousands of Seniors Lose Medicare Coverage After 25% of Plans Leave Oregon
Many private insurers are cutting their plans amid rising costs in part due to changes under the Inflation Reduction Act.
STAT
8h
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 ...
2d
on MSN
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 ...
Opinion
Daily Independent
1h
Opinion
Toni King: What changes are available during Medicare's AEP?
I was told that Medicare's Annual Enrollment is when Sonny and I can disenroll from this Advantage plan and return to ...
health.wusf.usf.edu
2h
Medicare enrollment is underway. Recipients should check plans for changes
The open enrollment period began Tuesday and runs through Dec. 7 for 2025 benefits. An AARP drug policy expert says ...
2d
on MSN
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 ...
Modern Healthcare
1d
How Biden transformed Medicare Advantage
Medicare Advantage underwent a quiet metamorphosis under President Joe Biden. Health insurance companies are still scrambling ...
studyfinds
2d
Medicare vs. Medicare Advantage: Examining the overwhelming choice older Americans face
Researchers say the sales pitches are often from biased sources, making the choices overwhelming, with impartial help not ...
Managed Healthcare Executive
17h
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 ...
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Oregon
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Inflation Reduction Act
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