VBID Phase II progress report shows promise and potential
By
Adam Healy
Oct 13, 2023
CMS released its midway evaluation of Phase II of the MA VBID model, revealing participation growth and shifts in insurer behavior.
Broussard to step down as president, CEO of Humana in 2024
By
Adam Healy
Oct 12, 2023
Bruce Broussard will step down as president and chief executive officer of insurance titan Humana next year after more than a decade in charge.
OIG estimates Aetna received $25.5M in MA overpayments
By
Adam Healy
Oct 11, 2023
The OIG has demanded a $632,070 refund from MA insurer Aetna, Inc., on account of miscoding that led to overpayments.
MA growing among people of color and those who live in rural areas, new report finds
By
Liza Berger
Oct 06, 2023
Medicare Advantage is making inroads among minority populations, in rural areas and among those with end-stage renal disease, according to a new snapshot of the program from the Better Medicare Alliance,...
Helper Bees, NourishedRx celebrate delivery of 30,000 meals to seniors at home
By
Liza Berger
Oct 05, 2023
Increasingly, Medicare Advantage is investing in nutritional support as a supplemental benefit. The latest sign of healthy food’s popularity is the news released today that The Helper Bees, an aging-in-place...
End-of-life care providers make good MA, ACO partners, hospice expert says
By
Adam Healy
Oct 04, 2023
MA and ACOs are taking over the payer landscape, and hospices and palliative care providers are uniquely positioned to take advantage.
ATI: MA supplemental benefits on the rise, but many rural beneficiaries may not be able to access them
By
Adam Healy
Sep 14, 2023
Where a person lives may dictate their ability to access nonmedical supplemental benefits offered by Medicare Advantage plans.
As MA dominates, it pays to put value-based features in FFS plans, Humana execs say
By
Adam Healy
Sep 07, 2023
Medicare Advantage, the private Medicare program, is influencing the composition of fee-for-service programs, Humana executives say.
MA members more likely to receive just one home health visit, study finds
By
Adam Healy
Sep 07, 2023
When it comes to home health visits, Medicare Advantage beneficiaries frequently receive one but not more, according to new research,
OIG releases strategic plan to oversee managed care integrity, efficiency
By
Adam Healy
Sep 01, 2023
As concerns about fraud and abuse continue to trail Medicare Advantage and Medicaid managed care, the U.S. Office of Inspector General this week disclosed its new oversight strategy for monitoring the...