Medicare Advantage

Managed care plans typically hold all the cards when it comes to rate-setting. But a new way of analyzing billing data could finally give increasingly leveraged providers a better leg to stand on, financial...

A new report finds Medicare Advantage restrictions are also creating log jams in hospitals desperate to discharge patients to post-acute care and free up needed beds.

Sometimes providers are backed into a corner and must do non-preferred things. But the big question becomes what’s the next step after the first concession?

Nursing home dementia patients enrolled in Medicare Advantage plans had less burdensome care towards the end of their lives than residents with an accountable care organization, new study results show.

Medicare Advantage’s aggressive market penetration represents a major threat to skilled nursing providers, some of whom now find themselves clearing less per resident day through MA plans than they do...

Long-term care providers wary of extra scrutiny should also be prepared for new opportunities in an administration that will likely expand insurance coverage and embrace innovative care models that could...

Coronavirus lab tests for nursing home residents must be covered by Medicare Administrative Contractors and Medicare Advantage plans, the Centers for Medicare & Medicaid Services announced Friday.

White House lowers insulin costs to $35 a month for Medicare enrollees … CMS rule changes aim to increase telehealth access for Medicare Advantage beneficiaries … Sleep disturbances appear to predict...

Changes under a recent final rule encourage Medicare Advantage plans to increase their telehealth benefits and plan options for beneficiaries in rural areas.

Operators who serve a disproportionate share of beneficiaries with these conditions are penalized twice, argue researchers.