Medicare Advantage
Expert articles and analysis related to medicare advantage.
AI Summary — Last 7 Days
Medicare Advantage is showing a sharper split between scaled national carriers and constrained regional/nonprofit plans: Aetna is pointing to VBC gains in MA, while Humana is expanding its Cityblock partnership to 20,000 dual-eligible and low-income MA members in North Carolina, signaling continued investment in high-touch population health for complex members. At the same time, margin pressure and policy scrutiny are intensifying—Providence Health Plan is exiting after an MA deal fell through, regional plans have fewer restructuring levers, and KFF estimates Medicare will spend more than $13 billion on MA quality bonuses in 2026.
Related Articles
Medicare Will Spend More Than $13 Billion on the Medicare Advantage Quality Bonus Program in 2026
From newsletter: This Week: Prior Authorization Metrics Provide New Insights into Insurer Practices This Week: Prior Authorization Metrics Provide New Insights into Insurer Practices, but Gaps Remai...
A look at where Aetna is seeing value-based care success in Medicare Advantage
A look at where Aetna is seeing value-based care success in Medicare Advantage  Fierce Healthcare
Medicare for All: The Allure
Last week, Michigan voters chose former Detroit public health director Abdul El-Sayed as its Democratic nominee for its U.S. Senate seat—the latest in a series of wins by Democratic Socialists... The ...
UnitedHealth’s Crisis Deepens: Lawsuit Alleges Medicare Fraud, Algorithmic Care Denials and $237 Million Insider Sales - sahmcapital.com
UnitedHealth’s Crisis Deepens: Lawsuit Alleges Medicare Fraud, Algorithmic Care Denials and $237 Million Insider Sales  sahmcapital.com
UnitedHealth’s Crisis Deepens: Lawsuit Alleges Medicare Fraud, Algorithmic Care Denials and $237 Million Insider Sales
UnitedHealth’s Crisis Deepens: Lawsuit Alleges Medicare Fraud, Algorithmic Care Denials and $237 Million Insider Sales  TradingView
Humana teams with Cityblock to support dual eligible, MA low income members
Humana teams with Cityblock to support dual eligible, MA low income members  Healthcare Finance News
To finance Reconciliation 3.0, lawmakers should fix Medicare Advantage fraud - yourvalley.net
To finance Reconciliation 3.0, lawmakers should fix Medicare Advantage fraud  yourvalley.net
As national payers recover, not-for-profit regional plans face an uphill battle
They may operate in only one state or offer a more limited number of plans, which gives them fewer options for restructuring, experts said.
Clover Health Is Proving Its Profit Model (NASDAQ:CLOV)
Clover Health Is Proving Its Profit Model (NASDAQ:CLOV)Â Â Seeking Alpha
Humana (HUM) Beats On Earnings And Quality, Is The Stock Above Fair Value? - finance.yahoo.com
Humana (HUM) Beats On Earnings And Quality, Is The Stock Above Fair Value?  finance.yahoo.com