Medicare Advantage

Feb 14, 2020
If you continue building, will they still come? In a nutshell, that’s what some analysts wanted Humana Inc. President and CEO Bruce Broussard to answer on a recent earnings call regarding his company’s $600 million joint venture with private equity firm Welsh, Carson, Anderson…
Feb 5, 2020
The Centers for Medicare & Medicaid Services today proposed changes to the Medicare Advantage and Medicare Part D programs, including implementing various provisions of the SUPPORT Act and 21st Century Cures Act.
Jan 23, 2020
In order for a Critical Access Hospital (CAH) to receive payment under Medicare Part A, Medicare currently requires physicians to certify that patients will be reasonably discharged or transferred to another hospital within 96 hours.
Jan 7, 2020
The Centers for Medicare & Medicaid Services yesterday announced proposed changes to the risk adjustment model for Medicare Advantage organizations and certain demonstrations for calendar year 2021.
Dec 13, 2019
Medicare Advantage organizations received $6.7 billion in risk adjustment payments in 2017 for diagnoses that were not supported by the medical record.
Dec 10, 2019
Priya Bathija, vice president of AHA’s The Value Initiative, talks with William Shrank, M.D., senior vice president and chief medical officer, Humana, to get his insights on health care affordability, value and the strategies that Humana is using to disrupt health care delivery.
Oct 11, 2019
The Centers for Medicare & Medicaid Services today published its star ratings for 2020 Medicare Advantage and prescription drug plans.
Sep 24, 2019
The Centers for Medicare & Medicaid Services today released premium and cost-sharing information for Medicare Advantage and Part D prescription drug plans for the 2020 calendar year.
Aug 8, 2019
The AHA today voiced support for the Improving Seniors’ Timely Access to Care Act (H.R. 3107), bipartisan legislation that would establish requirements for the use of prior authorization under Medicare Advantage plans.