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fiercehealthcare.com > regulatory > insurance-groups-say-proposed-flat-medicare-advantage-rates-fail-meet-moment

Insurance groups say proposed flat Medicare Advantage rates fail to meet the moment

23+ hour, 53+ min ago  (773+ words) The Trump administration has proposed flat rates in Medicare Advantage (MA) for 2027, and insurers argue in new commentary that those levels do not reflect the realities of the program. In late January, the Centers for Medicare & Medicaid Services (CMS) released…...

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fiercehealthcare.com > digital-health > low-pay-rates-medicares-access-model-will-pressure-digital-health-margins-capstone

Low pay rates for Medicare's ACCESS Model will pressure digital health margins: Capstone

3+ day, 3+ min ago  (642+ words) The health tech industry cheered when Medicare announced a new 10-year payment model to encourage the use of technology to treat chronic diseases. But, the lower-than-expected reimbursement rates introduce the risk of negative profit margins for model participants, according to…...

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fiercehealthcare.com > payers > claims-younger-adults-are-rise-unitedhealthcare-hac-study

Claims for younger adults are on the rise: UnitedHealthcare, HAC study

2+ week, 11+ hour ago  (608+ words) While Generation Z and millennial workers still account for fewer claims than their baby boomer counterparts, claims in these populations are rising fast, according to a new report. UnitedHealthcare and the Health Action Council (HAC) earlier this month released their…...