News
CMS halts enrollment in Elevance’s Medicare Advantage plans, citing years of misconduct
3+ hour, 57+ min ago (161+ words) Elevance Health will no longer be able to enroll people into its Medicare Advantage plans starting March 31, according to a new, harshly worded suspension notice from the Centers for Medicare and Medicaid Services. CMS is imposing the punishment after Elevance…...
Optum CMO: Doctors must take responsibility for patient outcomes
6+ day, 12+ hour ago (92+ words) Cohen is chief medical officer of Optum Health. America's health system is buckling under the weight of several converging pressures: an aging population, high rates of chronic disease, a shortage of clinicians, and rising costs. The response to these challenges…...
Does Medicare's ACCESS model pay enough?
1+ week, 6+ day ago (144+ words) STAT is a media company focused on finding and telling compelling stories about health, medicine, and scientific discovery. We produce daily news, investigative articles, and narrative projects in addition to multimedia features, podcasts, and opinion pieces. We tell our stories…...
Medicare Advantage growth dwindles for a second straight year
2+ week, 4+ hour ago (217+ words) The Medicare Advantage program continues to bring in more older adults and people with disabilities, but not nearly at the same rates from just a few years ago. Almost 35.5 million people were enrolled in a Medicare Advantage plan as of…...
Federal government turns to fresher data to rein in Medicare Advantage upcoding
3+ week, 12+ hour ago (131+ words) The health insurance industry was caught off guard by the federal government's recent proposal to keep next year's payments to Medicare Advantage plans mostly flat, and to change a controversial coding practice. But another equally significant change has flown under…...
We helped create Medicare Advantage. Here’s how to fix it
3+ week, 4+ day ago (747+ words) By Donna Shalala and Tommy G. Thompson Shalala was appointed as secretary of health and human services under President Bill Clinton. Thompson served as secretary of HHS under President George W. Bush. Tens of millions of seniors have recently wrapped up Medicare's…...
A telling UnitedHealth chart, and the Medicare Advantage earthquake
1+ mon, 5+ hour ago (273+ words) Bob Herman is a business of health care reporter at STAT. He covers hospitals, health insurance, and other corners of the industry " with a goal of explaining and shining light on the massive amount of money flowing through the system....
Trump administration signals there’s widespread desire to curb Medicare Advantage
1+ mon, 5+ day ago (215+ words) Bob Herman is a business of health care reporter at STAT. He covers hospitals, health insurance, and other corners of the industry " with a goal of explaining and shining light on the massive amount of money flowing through the system....
Trump administration proposes tiny pay raise to 2027 Medicare Advantage plans
1+ mon, 6+ day ago (252+ words) Bob Herman is a business of health care reporter at STAT. He covers hospitals, health insurance, and other corners of the industry " with a goal of explaining and shining light on the massive amount of money flowing through the system....
Kaiser Permanente, DOJ reach $556 million Medicare Advantage fraud settlement, the largest of its kind
1+ mon, 2+ week ago (477+ words) The Justice Department won its biggest Medicare Advantage fraud settlement yet on Wednesday, notching a $556 million deal with Kaiser Permanente." "It sends the message that white-collar enforcement is still a priority for the administration and enforcement of health care fraud…...