More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.| Healthcare Dive
Similar to hospitals and health systems, a provider data management strategy is essential for health plans to effectively power member experiences and internal processes. Here are five reasons why health plans should invest in provider data management.| Kyruus Health
Nearly 50 million prior authorization requests were submitted to Medicare Advantage insurers on behalf of Medicare Advantage enrollees in 2023, of which 3.2 million (6.4%) were denied. Just 11.7% of denied requests were appealed, though 81.7% of appeals overturned the initial denial in Medicare Advantage. Substantially fewer prior authorization requests were made in traditional Medicare, reflecting the small number of services subject to prior authorization requirements.| KFF
For 2024, the average Medicare beneficiary has access to 43 Medicare Advantage plans and can choose from plans offered by 8 firms. Among the majority of Medicare Advantage plans that cover prescription drugs, 66 percent will charge no premium in addition to the monthly Medicare Part B premium. As in previous years, the vast majority of Medicare Advantage plans will offer supplemental benefits, including fitness, dental, vision, and hearing benefits.| KFF
The insurer said its employer segment no longer meets Humana’s long-term strategic plans.| Healthcare Dive
Our updated explainer provides an overview of comprehensive managed care, the most common way states deliver Medicaid services to enrollees, as well as new federal rules that strengthen managed care access standards.| KFF
In June 2024, medical inflation (3.3%) outpaced inflation in the overall economy (3.0%) for the first time since the beginning of 2021.| Peterson-KFF Health System Tracker
2023-07-17-Update 2/2/24: We have updated our estimate for MA overpayments due to new research into coding intensity and favorable selection from| Committee for a Responsible Federal Budget