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Medicare Advantage

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

Recent News

UnitedHealthcare expects to be ‘very competitive’ in Medicare Advantage next year, CFO says

Healthcare Dive

Mass General Brigham health plan drops MA coverage for Dana-Farber patients

Healthcare Dive

Why leading Medicare Advantage plans are rethinking care transitions

Healthcare Dive

Supplemental benefits belong in the HDHP conversation from the start

Insurance Business

OIG: Medicare Part D plans spent millions on ineligible OTC drugs

Fierce Healthcare

Medicare spent hundreds of millions of dollars on ineligible drugs, audit finds

Healthcare Dive

CMS posts May 2026 Medicare data; 70.5 million total

ACA Signups

Medicare doesn't follow older travelers abroad. IMG's autumn data shows who that affects most

Insurance Business

The Villages Health reaches $541M False Claims Act settlement with DOJ

Fierce Healthcare

The Villages Health Agrees to Pay $542M for Medicare Advantage Overbilling

Insurance Journal

Humana-owned Villages Health agrees to $542M settlement for overbilling Medicare

Healthcare Dive

Monogram Health to pay $2.4M to settle Medicare Advantage upcoding allegations

Healthcare Dive

Moody's: A look at payers' 'diverging' paths for MA, ACA markets

Fierce Healthcare

Highmark touts health plan turnaround in first half of 2026

Fierce Healthcare

A look inside the expanded partnership between SCAN and Costco

Fierce Healthcare

UnitedHealthcare expands behavioral coaching program for youths

Fierce Healthcare

Many Medicare beneficiaries are confident they understand the program. The data says otherwise

Fierce Healthcare

Providence Health Plan to close completely after Medicare Advantage deal falls through

Healthcare Dive

Integrity partners with Meraz Health Insurance Agency

Coverager

SCAN Health Plan partners with Costco

Coverager

Kaiser Permanente notches 4.6% Q2 operating margin, $5.3B net income

Fierce Healthcare

Why the first 24 hours after discharge matter for star ratings

Healthcare Dive

My Husband Was Kicked Out of Hospice for Dying Too Slowly

KFF Health News

A look at where Aetna is seeing value-based care success in Medicare Advantage

Fierce Healthcare
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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