News
United Healthcare To Slash Prior Authorization Use For Many Rural Providers
15+ hour, 32+ min ago (350+ words) Get the latest health care news and updates for insurance brokers. United Healthcare said it's going to eliminate most requirements for prior authorization for medical care for about 1, 500 rural hospitals and their affiliated health care providers by this fall. The…...
Hospitals Warn CMS Pay Hike Fails To Offset Inflation, Rising Uninsured Rates
1+ week, 14+ hour ago (205+ words) Get the latest health care news and updates for insurance brokers. Hospitals would receive a 2. 4% rate increase for inpatient services in fiscal year 2027 under a proposal announced by the Centers for Medicare & Medicaid Services on Friday. If enacted, it would…...
NABIP Secures Major Wins for Agents and Beneficiaries in CMS Final Medicare Rule
1+ week, 14+ hour ago (423+ words) Get the latest health care news and updates for insurance brokers. The National Association of Benefits and Insurance Professionals (NABIP) today announced significant policy victories for agents, brokers, and the millions of Medicare beneficiaries they serve following the release of…...
BCBS Association Asks CMS To Close Medicare Advantage Fraud Gaps, Regulate AI Coding Tools
2+ week, 15+ hour ago (352+ words) Get the latest health care news and updates for insurance brokers. The Blue Cross Blue Shield Association submitted a wide-ranging letter to CMS on March 30 in response to the agency's information request on its Comprehensive Regulations to Uncover Suspicious Healthcare,…...
CMS Gives Medicare Advantage Rates A 2. 48% Bump For 2027 Plan Year In Final Rule
2+ week, 15+ hour ago (716+ words) Get the latest health care news and updates for insurance brokers. Following significant industry outcry over a proposal to keep Medicare Advantage rates largely flat in 2027, the Trump administration has bumped payments up slightly in the final policy. The Centers…...
Some 2027 ACA Exchange Plans Could Ditch Provider Networks
3+ week, 15+ hour ago (900+ words) Get the latest health care news and updates for insurance brokers. The regulators who oversee the Affordable Care Act public exchange system are wondering whether to treat "non-network plans" as major medical insurance coverage and let the plans use ACA…...
Medicare Advantage "Dark Money" Group Attempts To Win Higher Payments for Insurance Companies
1+ mon, 4+ day ago (1227+ words) Get the latest health care news and updates for insurance brokers. Yet about 82% of the comments are identical to a letter that appeared on the website of a secretive advocacy group called Medicare Advantage Majority, a data analysis by KFF…...
Congressional Committee Says Seniors Paid Higher Premiums Due To Alleged Medicare Overpayments
1+ mon, 4+ day ago (354+ words) Get the latest health care news and updates for insurance brokers. A congressional committee's investigators released a report on Tuesday that found the average "American senior's Medicare premiums last year were about 10% higher due to "alleged overpayments to private Medicare…...
Insurance Groups Say Proposed Flat Medicare Advantage Rates Fail To Meet The Moment
1+ mon, 2+ week ago (840+ words) Get the latest health care news and updates for insurance brokers. 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....
Medicare Advantage Insurers Face New Curbs on Overcharges in Trump Plan That Reins in Payments
2+ mon, 2+ week ago (905+ words) Get the latest health care news and updates for insurance brokers. Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes. But some health policy…...