A report conducted by ATI Advisory and commissioned by Better Medicare Alliance found that Medicare Advantage beneficiaries have lower healthcare spending than fee-for-service Medicare enrollees. This is true across racial and ethnic groups, according to the report.

The post Report: MA Beneficiaries Spend $2,500 Less on Healthcare Than Traditional Medicare Beneficiaries appeared first on MedCity News.

The impact of personal health literacy on seniors

The post Unlocking Better Health: The Role of Personal Health Literacy in Medicare Advantage Enrollment appeared first on MedCity News.

The challenge? Maintaining high Star Ratings or improving upon existing ratings gets increasingly difficult over time.

The post Star Ratings and Member Experience: Two Sides of the Same Coin appeared first on MedCity News.

About 32% of health insurance sites and apps “don’t meet the foundational level of functionality and intuitive organization of information,” according to a new J.D. Power report.

The post Report: Payers Aren’t Providing an Adequate Digital Experience appeared first on MedCity News.

A new study found that enrollees with zero-premium MA plans are three times as likely to be non-White compared to other MA enrollees and traditional Medicare enrollees.

The post Report: How MA Plan Design Affects Utilization, Health Equity appeared first on MedCity News.

America’s Health Insurance Plans, the Better Medicare Alliance and the Association for Community Affiliated Plans all came out against CMS’ final 2025 Medicare Advantage and Part D rate announcement.

The post Insurer Advocacy Orgs Slam Final MA, Part D Rate Announcement appeared first on MedCity News.

Collaboration across key stakeholders, including home health agencies, providers, patients, health plans, and post-acute care solution providers will be critical to fully enabling the home as a preferred place of care.

The post Post-Acute Care and Enablement of the Home, An Industry in Flux appeared first on MedCity News.

Quantum Health is now offering a navigation service for Medicare Advantage plans. The company has traditionally served employers.

The post Quantum Health Dips into Medicare Advantage Market appeared first on MedCity News.

Adopting consumer strategies from leading retailers can give MA plans an edge in an increasingly competitive market filled with new entities while improving quality, reducing cost, and improving member loyalty.

The post Does Chronic Disease Management in Medicare Advantage Need a ‘Retail’ Makeover? appeared first on MedCity News.

Bright Health Group recently announced that it is adopting NeueHealth as its corporate brand name after it shed its insurance business and is focusing on its value-based consumer care business. But getting rid of the Bright Health name doesn’t get rid of its financial problems, experts say.

The post “The Name May Be ‘Neue’ but Their Problems are Old”: Will Bright Health’s Rebrand Save It? appeared first on MedCity News.

Cano Health filed for bankruptcy this week — about three years after going public $4.4 billion SPAC merger. The industry reacted without surprise, with experts calling the bankruptcy a direct result of mismanagement, a quixotic growth strategy and poor market selection.

The post Why Experts Saw Cano Health’s Bankruptcy Coming From A Mile Away appeared first on MedCity News.

Medicare Advantage patients without a primary care physician are perhaps the greatest risk to health plans in 2024. Health plans must adopt best practices to reach and engage MA patients, especially those with multiple, complex conditions. Here are six best practices to consider.

The post Will We Close the Medicare Advantage Primary Care Gap in 2024? appeared first on MedCity News.

Executives at LRVHealth expect to see a continued focus on generative AI, increased enrollment in Medicare Advantage and more in 2024.

The post One VC Firm’s 5 Healthcare Predictions for 2024 appeared first on MedCity News.

Health systems have been increasingly dropping MA contracts, saying that they cause their organizations to lose too much money and result in dangerous patient care delays. To mitigate this issue, experts think large MA plans need to delegate more utilization management duties to health systems rather than handling it themselves.

The post Who Really Benefits From Medicare Advantage Plans? appeared first on MedCity News.

In a letter to CMS, four senators asked for better data collection on the practices of Medicare Advantage plans, including when it comes to prior authorization.

The post 4 Senators Urge CMS To Collect, Publish More Data on MA Plans appeared first on MedCity News.

With Cigna mostly focused on the commercial market and Humana mostly focused on the Medicare Advantage market, the rumored combination rumors check out, according to one industry expert.

The post Expert: The Rumored Humana/Cigna Combination Makes Sense appeared first on MedCity News.

Seniors are mostly still interested in $0 premium Medicare Advantage plans, according to a new eHealth report. However, slightly fewer seniors are choosing these plans compared to previous years.

The post Report: 83% of MA Beneficiaries Choose $0 Premium Plans for 2024 appeared first on MedCity News.

A recent report from Papa, a companion care company, found that 22% of Medicare Advantage members are severely lonely. The findings give some insights into why employers and payers should offer companion support, according to Andrew Parker, founder and CEO of Papa.

The post Why Employers and Payers Should Offer Companionship Services, Per Papa’s CEO appeared first on MedCity News.

In total, there are 3,959 Medicare Advantage plans being offered for individual enrollment in 2024, a 1% decrease from 2023, according to a new report from KFF.

The post Report: The Average Medicare Beneficiary Will Choose From 43 MA Plans in 2024 appeared first on MedCity News.

CMS proposed a new rule that would set a flat amount — $632 — that MA plans can pay agents and brokers when they help enroll a person into any MA plan. The proposed rule also addresses behavioral health access and prior authorization.

The post CMS Proposed Rule Tamps Down On MA Predatory Marketing appeared first on MedCity News.

Medicare Advantage members have fewer readmissions, fewer preventable hospitalizations and lower rates of high-risk medication use than traditional Medicare, new research by Harvard Medical School and Inovalon shows.

The post Report: MA Members Have Better Quality Outcomes than FFS Members appeared first on MedCity News.

In this episode, we discuss SCAN Health Plan’s recent launch of SCAN Inspired, a Medicare Advantage plan designed for women.

The post MedCity FemFwd Podcast: SCAN Inspired With Nancy Monk, Chief Operations Officer of SCAN Health Plan appeared first on MedCity News.

Enrollment in Medicare Advantage is increasing, but the program has been drawing scrutiny from the government. Can the program be saved? One expert believes Medicare Advantage is a failed experiment. Another thinks that while the program has its flaws, it shows tremendous potential.

The post Is Medicare Advantage a Failed Experiment? Experts Debate appeared first on MedCity News.

Cigna recently agreed to pay $172 million to resolve allegations that it violated the False Claims Act. One expert said this is just a small part of the problem, while another called for more clarity from the government.

The post Did Cigna Deserve its $172M Penalty? appeared first on MedCity News.

CEO of Alignment Health joins the Payer’s Place and details how the growth of Medicare Advantage will only help patients in the future.

The post Payer’s Place: Dawn Maroney, Alignment Health appeared first on MedCity News.

C-SNPs are Medicare Advantage plans formulated to meet the desired needs of people living with chronic diseases. These plans are different from traditional Medicare plans because they’re only available to people who fit the special needs category that the plan serves.

The post C-SNPs: Promoting Healthcare Focused on Chronic Conditions appeared first on MedCity News.

The average monthly plan premium for Medicare Advantage is expected to increase only slightly in 2024 from 2023, CMS said. About 73% of beneficiaries will see no increase at all.

The post CMS: MA Premiums To Remain the Same for Most Beneficiaries in 2024 appeared first on MedCity News.

A new study found that MA beneficiaries have more than 50% fewer inpatient stays and 22% fewer emergency department visits than traditional Medicare enrollees.

The post Study: MA Beneficiaries Have Lower Utilization Than Traditional Medicare appeared first on MedCity News.

There are concerns that Medicare Advantage TV ads are misleading patients. A new KFF analysis of Medicare Advantage TV ads found that the ads often rely on celebrity endorsements and suggest that seniors are missing out on benefits that they’re entitled to.

The post Report: 7 Ways Medicare Advantage Is Being Marketed on TV appeared first on MedCity News.

For the past 30 years, even with the various headwinds over time, consistent winners in MA have adapted and adjusted to new standards required for success. Now is no different. Short-term headwinds are just that – short-term.

The post Medicare Advantage is Here To Stay appeared first on MedCity News.