by Becker’s Hospital Review | Sep 3, 2026 | Industry News, Medicare Advantage
The Justice Department’s scrutiny of Medicare Advantage risk adjustment is intensifying, with two recent settlements totaling nearly $1.1 billion highlighting federal concerns about diagnosis coding practices that can increase payments to health plans. The latest came...
by Becker’s Hospital Review | Sep 3, 2026 | Health, Industry News, Medicare, Medicare Advantage
Contract breaks between major health systems and certain Medicare Advantage insurers are continuing in 2026. Providers dropping plans often cite prior authorization denials and slow reimbursement; in other cases, insurers are terminating the contracts themselves. MA...
by Beckers | Sep 1, 2026 | Enrollment, Industry News, Medicare Advantage
CMS has again suspended enrollment for two Medicare Advantage prescription drug plans offered by Boston-based eternalHealth, the second time in less than two years that the insurer has faced sanctions. The agency said Aug. 27 the enrollment freeze on the two plans is...
by Becker's | Aug 20, 2026 | Industry News, Medicare, Medicare Advantage
As insurers nationwide prepare to take their latest Medicare products to market this fall, SCAN Group is doubling down on an unconventional growth strategy meant to grab the attention of seniors and healthcare leaders...
by HealthcareDive | Aug 19, 2026 | Health, Industry News, Medicare, Medicare Advantage
The regional health plan was in talks with an unnamed national insurer to keep its MA plans afloat. But the agreement sputtered “despite significant effort on all sides,” per a...
by InvestmentNews, Steve Randall | Aug 18, 2026 | Industry News, Medicare Advantage
According to the J.D. Power 2026 U.S. Medicare Advantage Study released Tuesday, overall member satisfaction fell 12 points this year to 611 on a 1,000-point scale; the second consecutive annual decline and a 41-point drop since 2024. Behind that slide is retirees...
