by Agent & Advisor | Oct 22, 2025 | Amber Allen, Health, Industry News, Medicare, Medicare Advantage
With Medicare Advantage (MA) now covering more than half of all Medicare beneficiaries, its dominance in the senior health coverage space is only growing. However, this growth doesn’t necessarily mean stability. This year’s Annual Enrollment Period (AEP) is expected...
by Healthcare Dive | Oct 10, 2025 | Industry News, Medicare Advantage
The CMS quietly released highly anticipated 2026 star ratings for MA insurers on Thursday evening. The agency normally issues a press release on the results, but has yet to do so. Operations may be hampered by the government shutdown — the HHS said communication...
by Kettering Health | Sep 29, 2025 | Industry News, Medicare Advantage
Kettering Health announced today that its contract with private Medicare Advantage insurers Humana, Inc. and Devoted Health, Inc. will not be renewed after December 31, 2025. This decision follows an extensive review of payer policies and administrative practices,...
by Insurance Business | Sep 28, 2025 | Industry News, Medicare, Medicare Advantage
A federal judge in Texas has vacated a rule that would have expanded the government’s ability to audit Medicare Advantage plans and claw back billions in alleged overpayments each year. The rule, finalized in 2023, gave the Centers for Medicare and Medicaid...
by Yahoo! Finance | Sep 19, 2025 | Health, Industry News, Medicare Advantage
The U.S. health insurance industry, referred to as Health Maintenance Organization (HMO), is poised to benefit from expanding commercial plans suite, which offers higher margins and reduced regulatory risk, while also leveraging favorable financing conditions from...
by Agent & Advisor | Aug 20, 2025 | Industry News, Medicaid, Medicare Advantage
Despite CMS mandates for Medicare Advantage (MA) insurers to update their directories every 90 days, a staggering 33% of provider listings contain inaccurate phone numbers, and 52% list incorrect provider locations. Seniors calling doctors listed as “in-network” often...
