Medicare Advantage insurers made about 50 million prior authorization determinations in 2023

Medicare Advantage insurers made about 50 million prior authorization determinations in 2023

Photo: shapecharge/Getty Images Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023, reflecting…

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Andrew Witty on defense over claim denials, Medicare Advantage

Andrew Witty on defense over claim denials, Medicare Advantage

UnitedHealth Group CEO Andrew Witty during a congressional hearing earlier this year. UnitedHealth Group CEO Andrew…

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Medicare Advantage could lead to lower hospital credit ratings: S&P

Medicare Advantage could lead to lower hospital credit ratings: S&P

Health systems have for years lamented the low reimbursement rates from traditional Medicare, but Medicare Advantage…

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Medicare Advantage growth could be challenging for hospitals

Medicare Advantage growth could be challenging for hospitals

Photo: Cavan Images/Getty Images The Medicare Advantage program recently achieved the milestone of covering more than…

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Medicare Advantage boasts highest gross margins for insurers

Medicare Advantage boasts highest gross margins for insurers

Photo: Eleganza/Getty Images The highest gross margins among insurers come from Medicare Advantage, which boasted gross…

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CMS is recalculating 2024 Medicare Advantage Star Ratings

CMS is recalculating 2024 Medicare Advantage Star Ratings

Photo: Boogich/Getty images Based on two lawsuits in favor of insurers, the Centers for Medicare and…

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