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Latest News & Web Pages
Clover reports CMS recalculation boosts two Medicare Advantage contracts to 4. 5 Stars for 2027
11+ hour, 13+ min ago (100+ words) Trading View Clover reports CMS recalculation boosts two Medicare Advantage contracts to 4. 5 Stars for 2027 Clover announced CMS recalculated Star Ratings that raise two Medicare Advantage contracts to 4. 5 Stars for payment year 2027. - CMS recalculated Clover's PPO contract H5141 from 3. 5 to 4. 5 Stars, affecting…...
Failing Minnesota Insurer UCare Approved a $200, 000 Bonus for Its $1 M CEO: but that's not the scary part for other health C-suites
11+ hour, 31+ min ago (488+ words) The financial problems were not caused by CEO pay. UCare's demise is a warning to Minnesota: Our health care system remains strong, but the way it is paid for and regulated is broken " and that broken system threatens to undermine…...
Healthcare officials call for change as BAF nears expiration amid nursing home concerns
1+ hour, 55+ min ago (506+ words) Courtesy of Jsme MILA on Pexels. com. WILKES-BARRE, LUZERNE CO. (WOLF) " Nursing homes and long-term care facilities across Pennsylvania are raising concerns about the impact of the state's Medicaid reimbursement formula, known as the Budget Adjustment Factor (BAF). Industry leaders…...
CMS recalculates Medicare Advantage stars after Clover lawsuit loss, but not a freebie for plans
15+ hour, 13+ min ago (817+ words) Regulators are locking in new 2026 stars for plans if they're higher under the new methodology. But the recalculation basically results in no change to average star ratings unless you're Clover. Clover Health, an insurer and physician enablement company that offers…...
CMS recalculates Medicare Advantage star ratings again, adding more volatility to program
8+ hour, 49+ min ago (136+ words) Federal officials have recalculated the quality ratings for 2026 Medicare Advantage plans, a new government memo shows. The consequential decision was prompted by yet another legal action from the health insurance industry. Medicare Advantage plans that get at least four out…...
New Medicare Rule Has Advocates Concerned About Limits on Care
3+ mon, 1+ week ago (224+ words) Seniors often need much more medical care than the younger population. This, in part, is why Medicare programs exist -- to ensure that retirees have access to affordable healthcare coverage that pays for critical services. Unfortunately, some new limits are being…...
Connie Health buys Clearlink's Medicare business
17+ hour, 24+ min ago (244+ words) Raises $40 M Series B. The post Connie Health buys Clearlink's Medicare business appeared first on Coverager - Insurance news and insights. Connie Health Connie Health Founded: 2019 Headquarters: Boston, Massachusetts, United States Total Funding: $16 M See full company profile "> has completed its acquisition…...
Will Medicare pay for my cancer treatments?
17+ hour, 56+ min ago (658+ words) My doctor's office manager said my employer's health plan denied the recent claim for my cancer treatment. Dear Toni: I need your assistance to enroll in Medicare because I am past 65 and still working full time with employer benefits. My…...
careviso expands National Physician Network to More than 460, 000 Provider Enrollments, Accelerating Prior Authorization Efficiency Across Healthcare
2+ week, 5+ min ago (195+ words) VIENNA, Va. , June 5, 2026 /PRNewswire/ -- Today, careviso, a leader in healthcare technology and patient access solutions, announced the continued rapid expansion of its national physician and provider network, surpassing 460, 000 provider enrollments and positioning the company to exceed 500, 000 enrollments by the end…...
Trump Tax Policies Cut Medicare Solvency by Over a Decade - AOL
2+ mon, 3+ week ago (501+ words) Here's what the latest projections suggest " and why they matter. Recent projections suggest the Medicare Hospital Insurance (HI) trust fund couldrun out of reserves by 2040. According to analysis referencing the Congressional Budget Office (CBO) projections, that timeline is significantly earlier…...