Advantage Plans Said No 4.1 Million Times in 2024. Four in Five Appeals Won. Nine in 10 Denials Were Never Appealed.

Medicare Advantage plans denied millions of prior authorization requests last year, and most patients accepted that answer ...
FinanceBuzz on MSN

Medicare Advantage is changing in 2027 - here's what that means for your coverage

CMS finalized sweeping Medicare Advantage and Part D changes for 2027. Here's what's changing, what was dropped, and what you ...

Hundreds of Thousands of Medicare Members Face Major Insurance Change

The insurer said the move is part of a broader effort to improve profitability by exiting lower-performing plans.

Insurers are cutting Medicare Advantage in 2027: Steps to take if your provider exits

Key Takeaways Medicare Advantage plans are being reduced or eliminated in some areas for 2027, affecting beneficiaries’ ...

Half of Medicare Advantage stars thresholds harder to reach in 2027

The CMS released draft star ratings, including the thresholds for reaching those ratings, to plans earlier this week. The grading sheet got stricter, which doesn’t bode well for insurers, one MA ...

Medicare Part D plan designs hold steady in initial wake of Inflation Reduction Act implementation, researchers find

A recent study led by health services policy and management assistant professor David Anderson examined changes in Medicare ...
24/7 Wall St.

Being Forced Out of a Medicare Advantage Plan Was a 1% Event for Years. In 2026 It Hit 10%. The 2027 Letters Must Arrive by October 2.

A plain envelope now lands in millions of Medicare mailboxes carrying a countdown clock and a one-time coverage opportunity ...

Medicare Advantage patients who get diagnosed with Alzheimer’s or other serious diseases are ditching their plans — and it can cost them

The annual Medicare open-enrollment period runs from Oct. 15 to Dec. 7.

Medicare’s 2027 Annual Enrollment Period Brings Major Shifts In Part D And Advantage Plans

Medicare’s 2027 enrollment period brings major changes as Part D subsidies end and Advantage payments shift. Learn how premiums, coverage and costs may change.
The American Journal of Managed Care

Plan Switching Among Medicare Advantage Enrollees Dually Eligible for Medicaid

Switching Medicare Advantage (MA) plans is increasingly common among MA enrollees, especially those dually eligible for ...

Excellus CEO: 4 ways to strengthen Medicare Advantage (Guest Opinion by Jim Reed)

Excellus BlueCross BlueShield CEO outlines four policy reforms to stabilize Medicare Advantage, government-funded health ...

Leaving Medicare Advantage Takes One Phone Call. Getting the Medigap Policy That Makes Leaving Affordable Can Require Medical Underwriting.

Switching from Medicare Advantage back to Original Medicare takes a single phone call, but the supplemental coverage most ...