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Medicare Advantage

Medicare Advantage market trends, plan economics, risk adjustment, and actuarial analysis.

Recent News

CMS posts April 2026 Medicare data; 70.3 million total

ACA Signups

CMS appeals Clover MA stars lawsuit

Healthcare Dive

CMS appeals court decision behind 2026 MA star ratings recalculations

Fierce Healthcare

How Medicare Advantage plans can strengthen Star Ratings through better care transitions

Healthcare Dive

Senate Republicans kill bid to end Medicare prior authorization pilot

Healthcare Dive

CMS proposes major Medicare reforms to shift physician pay, phase out MIPS and expand ACO participation

Fierce Healthcare

CRR: Medicare Dilemma Deserves Better Attention

PLANSPONSOR

HHS watchdog says it’s targeting Medicaid, Medicare Advantage fraud

Healthcare Dive

‘The system is undeniably broken’: More insurers sue CMS over Medicare Advantage stars

Healthcare Dive

Soon-to-expire ACO REACH generates more savings for Medicare

Healthcare Dive

Former exec alleges Alignment Healthcare leaders juiced profits to boost bonuses

Fierce Healthcare

Elevance Health sues CMS over MA star ratings recalculations

Fierce Healthcare

Thousands of Medicare Beneficiaries Thought Their Drug Plan Was Free. Then They Lost It.

KFF Health News

Medicare Advantage plans set to rake in $13B in 2026 quality bonus payments

Fierce Healthcare

Medicare Advantage Insurers Deny Prior Authorization Requests for Post Acute Care at Substantially Higher Rates Than the Overall Denial Rate

KFF

Elevance sues CMS after Medicare Advantage stars recalculation

Healthcare Dive

Medicare Advantage bonuses will exceed $13B this year, KFF finds

Healthcare Dive

CMS mulls tougher Medicare enrollment rules to combat fraud as part of 2027 home health payment rule

Fierce Healthcare

CMS goes live with GLP-1 Bridge program for Part D beneficiaries

Fierce Healthcare

Medicare Will Spend More Than $13 Billion on the Medicare Advantage Quality Bonus Program in 2026

KFF

Decoding Medicare Advantage Coding Intensity

KFF

Nearly 4M Medicare beneficiaries could access GLP-1s for weight loss under new program: analysis

Healthcare Dive

CMS posts March 2026 Medicare data; 70.2 million total

ACA Signups

Medicare Advantage Company Pays $342M to Government in Midst of Billing Probe

KFF Health News

Democrats to propose bill capping out-of-pocket costs for Medicare enrollees

Fierce Healthcare

Democrats To Propose Bill Capping Out-of-Pocket Medicare Costs for Enrollees

KFF Health News

Key Facts About Medicare Spending Trends and Projections from the 2026 Medicare Trustees Report

KFF

Unpacking CMS' decision to recalculate 2026 MA star ratings after Clover Health ruling

Fierce Healthcare

Connie Health buys Clearlink’s Medicare business

Coverager

CMS recalculates Medicare Advantage stars after Clover lawsuit loss, but not a freebie for plans

Healthcare Dive
Featured Analysis

Medicare Advantage in 2026: What Actuaries Need to Know About the Market Shakeup

V28 risk adjustment, 2.9M forced disenrollments, benefit reductions, and the first enrollment decline in nearly 20 years. A comprehensive analysis for health actuaries.

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