Health insurer Humana (HUM) revealed Medicare Advantage plans for 2025 on Tuesday. This announcement came just ahead of the start of enrollment for Medicare Advantage plans on October 15, which will run through December 7. Medicare Advantage plans are offered by private insurers, who receive a ...
Medicare advantage beneficiaries who received care from providers in 2-sided risk payment models had lower rates of acute care use, according to new study findings. Read More Geoffrey Boyce Compares Telehealth and In-Person Behavioral Care
“Our end goal is for telehealth flexibilities to become permanent policy,” said Alye Mlinar, executive director of TAFA, in a statement. “This two-year extension would help ensure that the millions of patients and providers who rely on virtual care can continue to do so and that innovations...
Additionally, all Medicare Advantage health plans in 2022 will offer a zero-dollar copay for COVID-19 testing, treatment, and vaccinations. Coronavirus patients can also receive the equivalent of two home-delivered meals per day for two weeks through their Humana Medicare Advantage plan. Hu...
Changes to the risk-adjustment model utilized by CMS to adjust premiums paid to Medicare Advantage plans or retrospective recovery by CMS of previously paid premiums as a result of the final rule related to the risk adjustment data validation audit methodology published by CMS on Jan...
Both companies — the two biggest providers of Medicare Advantage plans for people ages 65 and above — have now suggested the uptick may be abating. Humana reported a medical loss ratio, the percentage of premiums it spends on medical care, of 86.3% for the second quarter. Analysts had est...
s Medicare Advantage business to non-Medicare Advantage business; or other changes in the governmental programs in which Humana participates. Changes to the risk-adjustment model utilized by CMS to adjust premiums paid to Medicare Advantage plans or retrospective recovery by CMS of previously paid ...
The partnerships reflect Humana’s goal to unify the sourcing of durable medical equipment and create a more coordinated experience for Medicare Advantage HMO members and the providers who care for them. According to the payer, the collaboration will allow members to receive...
Centene has become the second major health insurer to warn investors of an impending funding decrease in Medicare Advantage — if regulators finalize 2025 rates as proposed. New payment parameters released by the CMS last week would cause Centene’s MA rate to fall 1.3%, CFO Drew Asher said ...
“The legislation includes improvements to Medicare, especially cracking down on ghost networks in Medicare Advantage that prevented seniors from finding a physician or psychiatrist in their health plan,” he said. “There’s a lot more work to be done to improve mental health c...