Browsing: Advantage

Dive Brief: Democrat lawmakers are urging Republicans debating cuts to Medicaid to focus instead on fraud, waste and abuse in…

Dive Brief: The Department of Justice is accusing three of the largest health insurers in the U.S. of paying brokers…

Dive Brief: The CMS has denied Humana’s internal appeal to improve the insurer’s Medicare Advantage bonus ratings, Humana disclosed in…

Dive Brief: Enrollment in privatized Medicare coverage continued to grow at the outset of 2025, despite insurers cutting back benefits…

Dive Brief: A New York health plan and one of its former executives have agreed to pay $100 million to…

Dive Brief: Democratic lawmakers are pushing for answers from Mehmet Oz, President-elect Donald Trump’s pick to lead the CMS, about…

Dive Brief: UnitedHealth and Centene have received a valuable boost in their Medicare Advantage star ratings for 2025 after squaring…

Dive Brief: The CMS on Tuesday proposed additional guardrails around Medicare Advantage plans’ prior authorization practices — including their use…

Dive Brief: The Biden administration is moving to lessen the importance of a controversial metric used to calculate valuable Medicare…

Dive Brief: Actions taken by Humana to weather tumult in the Medicare Advantage program appear to be bearing fruit. On…