Problems with Medicare Advantage Plans Keep Mounting
People tend to like their Medicare Advantage plans — until they don’t. Consider the case of Rose LaChapelle, who says the Medicare Advantage plan that was supposed to provide care for her 92-year-old mother has failed her now that she needs it most.
Medicare Advantage Is Scamming You
The privatized version of Medicare doesn’t just provide worse care than traditional Medicare—it also rips off American taxpayers with fraudulent claims. And Trump wants to double down on it.
WSJ Goes After Insurers' Medicare Advantage Strategy
Critics of Medicare Advantage plans contend that some insurers manipulate a Medicare Advantage program mechanism that provides higher payments for higher-risk enrollees by making aggressive, sometimes dishonest efforts to indicate that ordinary enrollees are seriously ill.
20 health systems dropping Medicare Advantage plans | 2025
Sioux Falls, S.D.-based Sanford Health dropped Humana Medicare Advantage in Minnesota for 2025. North Platte, Neb.-based Great Plains Health no longer accepts any Medicare Advantage plans as of 2025.
Potential fraud could have earned insurance companies billions off of Medicare Advantage
NPR's Eric Deggans talks to Wall Street Journal reporter Christopher Weaver about the newspaper's yearlong investigation into potential fraud in the Medicare Advantage program.
Unhappy with your Medicare Advantage? You have one more chance to change your mind.
It’s open enrollment for Medicare Advantage. You can switch or drop your plan — but make sure you check your Medigap coverage ...
How Health Insurers Racked Up Billions in Extra Payments From Medicare Advantage
The Wall Street Journal’s yearlong investigation into Medicare’s private insurers relied on exclusive access to billions of ...
The San Bernardino Sun8h
Senior living: In settling fraud case, Medicare Advantage insurer, CEO will pay up to $100M
Independent Health Association of Buffalo, which operates two Medicare Advantage plans, will pay up to $98 million. Betsy ...
WCMH Columbus on MSN3d
Anthem Medicare Advantage patients still without OSU coverage. How they can stay in network
The Ohio State University Wexner Medical Center and Anthem Insurance reached an agreement on Dec. 30, guaranteeing that a ...
Medicare Advantage Home Visits Face Increased Scrutiny With Jae Oh
Medicare Advantage carriers use in-home visits for risk coding, and stricter oversight could change funding practices.
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Independent Health settles with Justice Department over alleged Medicare Advantage upcoding
The $100 million settlement is one of the larger recent sums agreed to by an MA payer accused of inflating its members’ ...
Medicare's new $2,000 prescription drug cap goes into effect. Here's how it works.
Millions of Medicare enrollees are likely to see relief in 2025 when a $2,000 cap on out-of-pocket prescription drug-spending ...
Medicare Advantage 2025: Enhanced Benefits and Key Changes
Expert insights on maximizing Medicare Advantage plans, including dental benefits and prescription drug coverage in the new year ...