Over the last several years, The Inquirer has curated a primer on Medicare, based on questions sent in by our readers, to help make the process a little easier. For 2021, we've updated it with details ...

PHILADELPHIA--(BUSINESS WIRE)--In 2021, administrative expenses for Medicare plans increased by 0.6% per member compared to a 5.6% increase in 2020. This trend is based on continuously reporting plans ...

ConnectiCare is a managed care company and subsidiary of New York–based healthcare insurer, EmblemHealth. It offers Medicare Advantage (Part C) and Medicare supplement (Medigap) plans to people who ...

MIAMI--(BUSINESS WIRE)--HealthSun Health Plans today announced that the Centers for Medicare & Medicaid Services (CMS) awarded its Medicare Advantage plans a 5-Star rating for the fifth year in a row, ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...

Medicare Advantage plans lure customers with television ads promising plans with dental, vision and hearing benefits that traditional Medicare doesn’t offer. But in a series of reports, experts and ...

The Inflation Reduction Act (IRA) significantly changed the popular Medicare drug programs.[1] While an IRA policy goal is to reduce the out-of-pocket drug spending, beneficiaries may experience ...

Federal regulators should audit all Medicare Advantage (MA) plans yearly to boost oversight of the program, which has come under criticism from Congress for overpayments, a key advocacy group said.

Numerous studies show that employer plans pay providers significantly more than Medicare, but less is known about prices in nongroup plans sold both on and off the Marketplaces established by the ...