Several major health systems are dropping Medicare Advantage plans in the new year. The hospitals are ending their acceptance ...
Medicare Advantage, a private alternative to traditional Medicare, offers extra benefits and low monthly premiums. However, prior authorizations and claim denials complicate this increasingly popular ...
Payers and providers are increasingly butting heads over Medicare Advantage contracts, with some health systems opting to go out-of-network. There has been a “spike” in contentious negotiations since ...
The Medicare Shared Savings Program lets healthcare providers form or join Accountable Care Organizations (ACOs) to coordinate higher-quality care to Medicare beneficiaries while helping reduce costs.
On January 1,the Centers for Medicare & Medicaid Services (CMS) launched their new Transforming Episode Accountability Model ...
A new analysis of more than 3 million claims for Medicare patients found that patients enrolled in a managed Medicare Advantage plan had better health outcomes than those senior enrolled in the ...
Iowa, dove into 50,000 pages of documentation from UnitedHealth for the new report, which accuses the company of maintaining ...
Forbes contributors publish independent expert analyses and insights. Bruce Japsen writes about healthcare business and policy. The Cigna Group has closed the sale of its Medicare health benefits ...