One of the most critical healthcare institutions in the United States, Medicare is a staple for many people seeking ...
Q2 2025 Management View CEO Tim Danker highlighted strong performance in the Medicare Advantage segment during the annual enrollment period, attributing success to their high-touch agent-led business ...
Humana Tuesday reported $1.2 billion in 2024 profits that included a $693 million fourth quarter loss as the health insurer ...
Humana shares slid after the health insurer said it expects Medicare Advantage memberships to decline in 2025 before the ...
Humana Inc. forecast 2025 profit that fell short of Wall Street’s expectations, as the company said it will invest heavily in ...
Insurers also ask the Trump administration, which is engaged in a sweeping campaign to eradicate anything related to ...
Anthem Blue Cross Blue Shield customers using Medicare Advantage plans will no longer pay in-network rates at University of ...
Since expenditures are heavily skewed, the top 5 percent of patients by cost contribute a disproportionate amount to the mean ...
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
President Donald Trump was handed an opportunity to "save" Medicare Advantage after the Biden administration's final proposal ...
Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...
Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...