Worst Medicare Advantage Plans

The Reality Behind Medicare Advantage Prior Authorizations
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
Worst Medicare Advantage Plans: How to Find a Good One
Medicare beneficiaries can choose from several Medicare Advantage plans, but not all are created equal. With approximately 43 Medicare Advantage plans on average, distinguishing between high-quality plans and less desirable ones requires more than merely skimming through the plan's glossy marketing materials.
3 Reasons to Consider Switching Your Medicare Advantage Plan Before March 31
Once you've selected a new Medicare Advantage plan, it will take effect in the month following your request to change. For example, if you select a new plan in February, you will remain on your existing plan throughout that month and switch over to the new plan on March 1.
Unhappy with your Medicare Advantage plan? Now's the time to make a switch.
Medicare Advantage enrollees can switch plans or transfer to original Medicare during the open enrollment period ending March 31.
Improving Medicare Advantage By Accounting For Large Differences In Upcoding Across Plans
Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage organization (MAO)-specific adjustment factors would improve the financial outlook for many MAOs but reduce or eliminate the financial gain for MAOs that upcode aggressively.
Medicare Advantage Plans: Prior Authorization Denial Rates
Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How does your plan measure up?
Did your Medicare Advantage plan deny you care? There were 3.2M denials in 2023
Statewide, 60% of Medicare eligible residents in Florida were enrolled in Medicare Advantage plans in 2023 compared to a national rate of 54% of seniors, according to KFF. What is
Hosted on MSN1d
Medicare Advantage fraud is staring Musk in the face — but critics predict he'll ignore it
Privatized Medicare Advantage plans overbill the U.S. federal government by up to $140 billion per year as they make patients ...
Trump handed 'opportunity to save Medicare’ after Biden admin’s final blow to seniors: expert
President Donald Trump was handed an opportunity to "save" Medicare Advantage after the Biden administration's final proposal ...
If You Don’t Have Medicare Part B, The GEP Can Bail You Out
The General Enrollment Period provides an opportunity to make up for a past oversight — the failure to enroll in Part B.
Commonwealth Fund1d
Do Medicare Advantage Provider Networks Change the Way Beneficiaries Use Health Care?
Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...
Medicare Advantage open enrollment: What you should know
Medicare Advantage open enrollment is underway and the last day to enroll is March 31, making this a crucial time to review ...
Managed Healthcare Executive4d
Navigating Medicare Advantage in 2025: Strategies for Success Amid Uncertainty
Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, ...
Idaho Business Review1d
Treasure Valley insurance agent sentenced for Medicare fraud
Kaleb Hoover of Nampa sentenced for fraudulently switching Medicare Advantage plans, facing probation and restitution after ...
Who could lose their Medicare coverage in February 2025? These could be the reasons
Medicare provides essential health coverage for millions, but certain circumstances can lead to a loss of eligibility. With ...