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News
Can Humana's Star Ratings Rebound Unlock MA Earnings Power?
3+ hour, 52+ min ago (338+ words) Humana Inc.'s HUM Star Ratings recovery is emerging as a key catalyst for its Medicare Advantage (MA) turnaround. After facing a significant Stars-related headwind, the company is targeting a return to top-quartile performance by bonus year 2028. This recovery is…...
UnitedHealth raises 2026 forecast as it controls medical costs
1+ mon, 4+ day ago (523+ words) NEW YORK, July 16 (Reuters) - UnitedHealth Group raised on Thursday its 2026 profit forecast as the company tightened spending on medical costs and improved operating income in its Optum health services business. Shares of the healthcare giant rose nearly 5% before the bell....
Policy Of Auto-Enrolling Seniors In Medicare Advantage Could Backfire
3+ mon, 1+ week ago (401+ words) And while Medicare Advantage plans offer low or even zero premium enrollment fees, their budget-conscious, profit-driven model places limits on choices of doctors and hospitals as well as much more frequent use of prior authorization that can restrict patient access…...
Record Lows and Highs for Medicare Advantage and PDPs by Mark Farrah Associates
3+ mon, 2+ week ago (249+ words) Over half, 51.8%, of people eligible for Medicare have decided on Medicare Advantage plans (MA), up from 51.6% in April of 2025. According to CMS’s MA reports, aggregated by Mark Farrah Associates (MFA) in Medicare Business Online™, total MA enrollment increased only 2.4% from…...
UnitedHealthcare removes prior approval requirements for 30% of healthcare services
3+ mon, 2+ week ago (220+ words) May 5 (Reuters) - UnitedHealth will eliminate prior approval requirements for 30% of healthcare services, its insurance unit said on Tuesday, further reducing delays and paperwork for patients and doctors. Health insurers have been taking measures to simplify their requirements for prior authorization…...
Analysis-Medicare Advantage health plans may cut extra benefits in 2027
3+ mon, 2+ week ago (692+ words) NEW YORK, May 1 (Reuters) - Americans enrolled in Medicare Advantage health plans should expect to see fewer extra benefits like gym memberships and vision and dental coverage next year, investors and industry experts say. The U.S. government said earlier this month it…...
Profits Rise While Staffing Struggles: Nurses Demand Improvements in Long-Term Care
4+ mon, 5+ hour ago (203+ words) TORONTO, April 20, 2026 /CNW/ - More than 4,400 nurses and health-care professionals working in long-term care homes – members of the Ontario Nurses' Association (ONA) – are calling for urgent investments in resident care, rather than allowing public funds to flow to shareholder profits. The…...
Think your supplemental health plan is enough? Here’s why Canadian seniors need to check every year
4+ mon, 1+ week ago (1498+ words) Every year, millions of older adults wrestle with the same nagging question about their health coverage: Is this plan still right for me, or am I paying for something that’s leaving me exposed when I need it most? Stop the…...
Humana Introduces New Value-Based Cardiology Care Partnerships for Medicare Advantage Members
5+ mon, 2+ week ago (306+ words) What This Means for Medicare Advantage Members Eligible Humana Individual and Group Medicare Advantage members will have access, through their participating cardiologists, to enhanced cardiac care services designed to improve quality of life and reduce hospitalizations. Key features include: Value-based…...
DoJ digging into UnitedHealth's prescription management services, Bloomberg News reports
11+ mon, 3+ week ago (154+ words) (Reuters) -The U.S. Justice Department's criminal division is digging into business practices at UnitedHealth Group's pharmacy benefit manager, Bloomberg News reported on Tuesday, citing people familiar with the matter. Under an ongoing probe into the company's operations, the investigators are looking…...