Medicare
Expert articles and analysis related to medicare.
AI Summary — Last 24 Hours
In recent developments regarding Medicare and value-based care, Aetna has agreed to pay $117.7 million in a settlement for false claims related to its Medicare Advantage program, which raises concerns about accountability and the integrity of risk adjustment models under the Trump administration. Meanwhile, a study published in McKnight's Long-Term Care News indicates that beneficiaries with Alzheimer's have seen benefits from the Medicare Advantage risk adjustment model, suggesting a positive impact on care for these patients. As these dynamics unfold, stakeholders must closely monitor the implications for risk-sharing arrangements and the sustainability of Medicare funding, particularly in light of ongoing scrutiny around reimbursement practices and quality of care delivered in value-based frameworks. For further details, see [Aetna's settlement](https://news.google.com/rss/articles/CBMi3gFBVV95cUxOd0s4SkhxWXJ3Z20xTnFTUnN0dV9lLXQ3T1BpbmpTbzg5LU5hSGpMaUVITGs0dDZISHpqNE9mMUNraVVzUU1XX0pkVmE2eWt2SHhPMlFudTRUbDRkMVcweEJHRi1ic2dVcG1DYVNhTUU4cDBJdElGbVBqREhnbGFxSFNMQTJBWGkzNFFCN3VSTEFncjRpVjMzTHRkM1JZUUhwcldk
Related Articles
Hidden Cuts: The 5 Popular ‘Extra Perks’ Being Removed from Medicare Advantage in 2026 - savingadvice.com
Hidden Cuts: The 5 Popular ‘Extra Perks’ Being Removed from Medicare Advantage in 2026 savingadvice.com
CMS accepting comments on data collection requirements for Medicare Advantage plans, Part D sponsors
CMS accepting comments on data collection requirements for Medicare Advantage plans, Part D sponsors American Hospital Association
What to Know About Medicare Coverage of Telehealth
Congress has repeatedly extended several pandemic-era flexibilities around Medicare coverage of telehealth, but with a few key exceptions most pandemic-era telehealth flexibilities remain temporary. T...
Hospital ads increase ED visits, Medicare spending: Penn study
Hospital ads increase ED visits, Medicare spending: Penn study Becker's Hospital Review
Alzheimer’s beneficiaries benefited from Medicare Advantage risk adjustment model, study finds
Alzheimer’s beneficiaries benefited from Medicare Advantage risk adjustment model, study finds McKnight's Long-Term Care News
Aetna agreed to pay $117.7 million in Medicare Advantage false claims settlement
Aetna agreed to pay $117.7 million in Medicare Advantage false claims settlement MSN
STAT+: Democrats prepare for health care overhaul
Democrats are outlining a new vision for the health care system ahead of the midterms.
Medicare Advantage cuts could jeopardize the MAGA agenda
Medicare Advantage cuts could jeopardize the MAGA agenda Washington Examiner
STAT+: Senate Democrats lay out plans to overhaul health insurance after setbacks under Trump
Democrats are sharpening their health care message as the midterms loom.
CMS All-In On Using ‘Big Stick’ To Make Value-Based Care New Paradigm
CMS All-In On Using ‘Big Stick’ To Make Value-Based Care New Paradigm Forbes