Industry News
Alignment sues CMS over 2027 Medicare Advantage star ratings crash
The lawsuit isn’t a surprise, after Alignment told investors it would take all available actions to improve its quality score. Alignment Healthcare is suing the CMS in a bid to...
SunFire HRA – 1/1/2026 to 10/13//2026
UnitedHealth reports $4.1B in profit, launches AI recommendations for Medicare Advantage plans
UnitedHealth Group reported $4.1 billion in profit for the third quarter of 2026, up 75% year over year, according to an Oct. 13 release. UnitedHealth raised its full-year...
Medicare Advantage Plan Availability Varies Widely by County for 2027
The Medicare Advantage market, the private plan alternative to traditional Medicare, is dynamic, and plan offerings can change from year to year. With 28 Medicare Advantage...
Medicare Advantage plans with 5 stars in 2027
Fifteen Medicare Advantage plans earned five-star ratings for 2027, down from 22 last year. CMS released the ratings Oct. 8. Of the 508 contracts that were rated, 188 (37%)...
Sharp decision to drop Medicare Advantage in 2027 leaves thousands in limbo
Thousands of older San Diego County residents will need to find new, and possibly more expensive, coverage. Sharp Health Plan has begun notifying its patients that it will stop...
New Insights on 2027 Medicare Advantage and Part D Offerings
Medicare’s annual Fall Open Enrollment (FOE) period runs October 15–December 7. During this time, people with Medicare can make certain changes to their coverage, like switching...
Insurers say their 2027 Medicare Advantage offerings preserve benefits. The data tells a different story
A Leerink Partners analysis of Medicare Plan Finder shows how the largest MA carriers are cutting dental allowances and premium givebacks next year as they continue to prioritize...
UHC/Aetna: More Limited MA Provider Networks
The article highlights a significant shift in the Medicare Advantage (MA) market: major carriers, including UnitedHealthcare and CVS Health's Aetna, are moving toward plans with...
Here’s how much insurers are cutting Medicare Advantage plans for 2027
Newly released CMS data gives the market its first comprehensive look at how insurers are adapting to continued pressure in the privatized Medicare program. It’s going to be...