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Zacks Industry Outlook Highlights Cigna and Humana

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...

Ghost Networks Are Real — and Your Clients Are Counting on You to Help

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...

United Healthcare dropping Medicare Advantage plans: Here’s what it means for 600,000 enrollees

by Marca | Aug 8, 2025 | Industry News, Medicare Advantage

UnitedHealthcare is making a big move that’s about to affect a lot of people-specifically, 600,000 seniors enrolled in its Medicare Advantage plans. The decision follows months of mounting financial strain. When UnitedHealthcare built its 2025 Medicare...

As payers stumble, hospitals eye their Medicare Advantage members

by Beckers Payer | Aug 7, 2025 | Industry News, Medicare Advantage

Despite the national pullbacks, total Medicare Advantage enrollment is still growing, though at a slower rate. Between 2024 and 2025, enrollment grew 4%, compared to 7% the year before. In 2025, 34 million Medicare beneficiaries, or 54% of the eligible population, are...

Medicare Advantage in 2025: Enrollment Update and Key Trends

by KFF | Jul 28, 2025 | Industry News, Medicare Advantage

Highlights for 2025: More than half (54%) of eligible Medicare beneficiaries are enrolled in Medicare Advantage in 2025. While a growing share of Medicare beneficiaries are enrolled in a Medicare Advantage plan, the pace of the increase in enrollment slowed in 2025....

Medicare Advantage legislation in Congress: 7 bills to know

by Becker's Payer | Jul 25, 2025 | Industry News, Medicare Advantage

Federal lawmakers have introduced a handful of bills aimed at speeding up prior authorization and cracking down on upcoding in Medicare Advantage. None of the introduced bills have been heard in committee. Here are seven proposals introduced in 2025 to know:...
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