The past couple of years have seen the sharp ascendancy of Medicare Advantage to now include more than half of all beneficiaries with Medicare coverage.
The alternative to the traditional fee-for-service Medicare has proven popular with consumers due t…
Although nearly all older Americans have Medicare coverage, they still pay more and are more likely to postpone or skip needed care because of costs than their counterparts in most other wealthy countries, according to new findings from the 2024 Common…
Among those who were insured all year in 2023, almost a quarter (23%) were underinsured, meaning they had coverage for a full year that didn’t provide them with affordable access to healthcare, according to a new survey from the Commonwealth Fund.
The state of Texas is applying the brakes to its new Medicaid contracts, with a Travis County district judge issuing a temporary injunction that stops the Texas Health and Human Services Commission (HHSC) from carrying out new contracts for the Medicai…
States could do more to require Medicaid managed care organizations (MCOs) to improve access for maternal health, according to an Office of Inspector General report.
There are significant barriers to accessing medications for opioid use disorder (OUD) among Medicare and Medicaid beneficiaries, particularly in rural and underserved areas, with many counties lacking either medication for opioid use disorder (MOUD) or…
UnitedHealthcare, one of the largest players in the Medicare Advantage market, has filed a lawsuit against the Centers for Medicare and Medicaid Services (CMS) following a downgrade in its star ratings.
An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.
The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 – about 51% of all Medicare beneficiaries.
OIG identified systemic issues that impair Medicaid’s ability to root out fraudulent activities and offered several recommendations.
