Volatility in MA stars for the 2023 plan year is raising questions around the earnings outlooks issued by payers.| Healthcare Dive
MedPAC released the data Friday during a contentious meeting where members argued over the efficacy of Medicare Advantage.| Healthcare Dive
Federal regulators have raised concerns about alleged payment abuses in the MA program for years, specifically for those tied to risk adjustments.| Healthcare Dive
The payer, which brings in the bulk of its revenue from Medicare, is fighting a rule finalized earlier this year to claw back overpayments in the increasingly popular MA program.| Healthcare Dive
Enrollment in MA plans has steadily increased since 2007, when one in five Medicare beneficiaries were enrolled in a private plan.| Healthcare Dive
Despite the uncertainty, the insurer reaffirmed its earnings outlook for 2025.| Healthcare Dive
Both hospital and payer groups came out in support of the rule finalized Wednesday, finding common ground in the need to streamline prior authorization.| Healthcare Dive
The big question coming out of the health insurance earnings season is how much elevated utilization among seniors is carrying over into 2024.| Healthcare Dive
