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Showing 1-20 of 1,589 results for "medicare advantage"

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A digital illustration of an outstretched hand holding a gold coin with a dollar sign on it. The sleeve around the person's wrist had white stars on a blue background and red and white stripes.

The Medicare Advantage Influence Machine

By Fred Schulte and Holly K. Hacker September 30, 2024 KFF Health News Original

New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.

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Some Rural Hospitals Ditch Medicare Advantage

By Arielle Zionts April 11, 2025 KFF Health News Original

Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.

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A man in business attire, with short-cut greying hair, stands in front of a hospital building. With his hands on his hips, he smiles. Behind him, building signage reads: "Brookings Health System"

Rural Hospitals Question Whether They Can Afford Medicare Advantage Contracts

By Arielle Zionts April 8, 2025 KFF Health News Original

Some rural hospitals have canceled — or are considering ending — contracts with insurance companies that offer Medicare Advantage plans, saying the private policies jeopardize their finances and impede patient care.

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Federal Watchdog Urges Crackdown on Medicare Advantage Home Visits

By Fred Schulte November 22, 2024 KFF Health News Original

Medicare officials are pushing back against a federal watchdog’s call to crack down on home visits by Medicare Advantage health plans — a practice the watchdog says may waste billions of tax dollars every year. In late October, a Health and Human Services inspector general audit found that the insurers pocketed $7.5 billion in 2023 from diagnosing health conditions that […]

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A photo of the sign in front of the Department of Health and Human Services' headquarters in Washington.

Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits

By Fred Schulte November 8, 2024 KFF Health News Original

Medicare officials defend the use of home visits that often spot medical conditions that are never treated.

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Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ to Brokers

By Julie Appleby May 23, 2025 KFF Health News Original

Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.

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A photo of a clipboard resting horizontally on a table with a piece of paper that reads, "Medicare Advantage." In front of it are an open pill bottle spilled yellow capsules, a stethoscope, and a pen.

When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too

By Susan Jaffe April 28, 2025 KFF Health News Original

Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.

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A photo of an older man having his blood pressure checked by a doctor in an exam room.

Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers

By Julie Appleby May 19, 2025 KFF Health News Original

The Department of Justice alleges that several major health insurers paid brokerages “hundreds of millions of dollars in kickbacks” to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.

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A photo of a large corporate building with the United Healthcare logo on it.

UnitedHealth Wins Ruling Over $2B in Alleged Medicare Advantage Overpayments

By Fred Schulte March 4, 2025 KFF Health News Original

A special master found the Justice Department failed to prove wrongdoing by the giant health insurer.

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KFF Health News Sues To Force Disclosure of Medicare Advantage Audit Records

By Fred Schulte November 12, 2024 KFF Health News Original

Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.

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Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition

By Fred Schulte August 27, 2024 KFF Health News Original

A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.

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A photo of a person putting their ballot into a drop off box.

Election Outcome Could Bring Big Changes to Medicare

By Stephanie Armour Updated November 4, 2024 Originally Published November 4, 2024 KFF Health News Original

Democrats and conservatives are divided over whether the federal health program for people over 65 should be run almost entirely by the private sector. If Trump retakes the White House, the shift to Medicare Advantage may accelerate.

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A photo of man holding his head in his hands as he uses a laptop.

Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say

By Tony Leys October 20, 2025 KFF Health News Original

A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. In some cases, investigators found providers had never had contracts with plans they were listed on.

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A photo of a gavel resting on a stack of money.

In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M

By Fred Schulte December 20, 2024 KFF Health News Original

A whistleblower suit alleged a health insurer bilked Medicare by exaggerating how sick patients were.

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Hospitals and Doctors Are Fed up With Medicare Advantage

By Julie Appleby November 29, 2023 KFF Health News Original

Medicare Advantage plans are pretty popular with both lawmakers and ordinary Americans — they now enroll about 31 million people, representing just over half of everyone in Medicare, by KFF’s count. But among doctors and hospitals, it’s a different story. Across the country, provider grumbling about claim denials and onerous preapproval requirements by Advantage plans […]

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A photo of a doctor examining an elderly patient's knee.

Medicare Advantage Increasingly Popular With Seniors — But Not Hospitals and Doctors

By Julie Appleby November 29, 2023 KFF Health News Original

Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.

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A photo of an older man sorting medicine into a weekly pill organizer.

Older Americans Say They Feel Trapped in Medicare Advantage Plans

By Sarah Jane Tribble January 5, 2024 KFF Health News Original

As enrollment in private Medicare Advantage plans grows, so do concerns about how well the insurance works, including from those who say they have become trapped in the private plans as their health declines.

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An up-close artistic photo of a stack of different multi-colored pills.

Breaking Down Why Medicare Part D Premiums Are Likely To Go Up

By Julie Appleby August 15, 2025 KFF Health News Original

Insurers will take drug costs, frequency of use, and other factors into account as they set premium amounts for the 2026 plan year.

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A photo of a man pouring pills into his hand.

Beneficiarios de Medicare gastarán menos en medicamentos en 2025

By Susan Jaffe October 21, 2024 KFF Health News Original

El período de inscripción anual para que los beneficiarios de Medicare renueven o cambien su cobertura de medicamentos, o elijan un plan Medicare Advantage, comenzó el 15 de octubre y se extiende hasta el 7 de diciembre.

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A photo of Mehmet Oz speaking at a podium.

TV’s Dr. Oz Invested in Businesses Regulated by Agency Trump Wants Him To Lead

By Darius Tahir November 21, 2024 KFF Health News Original

Celebrity doctor Mehmet Oz recently held broad investments in health care, tech, and food companies. Were he confirmed to run the Centers for Medicare & Medicaid Services, his job would involve interacting with giants of the industry that have contributed to his wealth.

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