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Report finds Medicare premiums are higher due to MA overpayments
The Joint Economic Committee March 10 released a report that found Medicare Part B premiums rose last year due to Medicare Advantage overpayments.
CMS finalizes CY 2026 Medicare Advantage, Part D rates
The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare Advantage and Part D plans.
Study finds nearly 3 million MA beneficiaries forced to find alternative coverage for 2026
A JAMA study published Feb. 18 found that 10% of Medicare Advantage beneficiaries — approximately 2.9 million — have needed to find other health coverage in 2026 due to MA plans leaving the market.
Senate Aging Committee holds hearing on physician burnout
The Senate Special Committee on Aging held a hearing Feb. 11 on issues impacting physician burnout.
Analysis: MA insurers made 53 million prior authorization determinations in 2024
A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase from 49.8 million in 2023.
CMS proposes Medicare Advantage, Part D payment changes for CY 2027
The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for calendar year 2027, which the agency estimates will result in a net average year-over-year increase of 0.09% in MA plan payments, or $700 million.
AHA comments on 2027 Medicare Advantage, Part D policy proposals
The AHA Jan. 26 expressed support and provided its perspective on certain provisions within the Centers for Medicare & Medicaid Services’ proposed rule for policies governing the Medicare Advantage and Part D programs for contract year 2027.
Comment deadline nears for 2027 Medicare Advantage, Part D policy proposals
The comment period for the Centers for Medicare & Medicaid Services' proposed rule for policies governing the Medicare Advantage and Part D programs for contract year 2027 ends Jan. 26.
MedPAC recommends Medicare 2027 payment updates to Congress for inpatient, outpatient services
The Medicare Payment Advisory Commission Jan. 15 voted to recommend that Congress update Medicare payment rates for hospital inpatient and outpatient services by the current law amount for 2027 and reiterated its recommendation to distribute an additional $1 billion to safety-net hospitals by transitioning to a Medicare safety-net index policy.
UHG launches pilot program for rural hospitals in 4 states to cut MA payment collection times by half
UnitedHealth Group announced Jan. 14 that it launched a six-month pilot program to reduce Medicare Advantage payment processing times by half for rural hospitals in four states.