Medicare Advantage

Two skilled nursing patients filed a class action suit against Humana Tuesday — alleging their Medicare Advantage benefits were cut prematurely short because of Humana’s wrongful reliance on artificial...

Aging services providers are increasingly concerned that powerful Medicare Advantage plans will not fall into line under new federal rules, which were once seen as the possible beginning of a tide change...

I’d like to announce that the folks who run Medicare Advantage plans will be shaking in their boots soon, fearful of what authorities are going to do to them.

Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell.  Those ads must work.  For the first time 2024 will see most Medicare...

More hospitals quit Medicare Advantage as denials escalate … US Attorney warns state’s nursing homes on refusal to admit patients with opioid use disorder … Poor knowledge about end-of-life wound...

Algorithms tied to curtailing coverage in new Medicare Advantage investigation … Nearly one-quarter of nursing home residents die broke: new KFF analysis … 3 years after merging to strengthen their...

CHICAGO — I was drawn into the provider payment conversation early and often at the LeadingAge conference here this week, but the tone wasn’t quite what I expected. After years of dark messaging on...

Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.

The headwinds for skilled nursing operators are significantly more numerous than the potential tailwinds, but there are reasons for provider optimism.

Hot flashes may signal Alzheimer’s risk … New Parkinson’s meds in the pipeline … Probiotics may kill multidrug-resistant bacteria like MRSA … Fracture risk similar between SGLT2 inhibitors,...