Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Once you've selected a new Medicare Advantage plan, it will take effect in the month following your request to change. For ...

Overall Medicare Advantage plans denied 6.4% of prior authorization requests in 2023. Prior authorization was needed 1.8 ...

Once a person buys a Medigap policy, it is guaranteed renewable. With few exceptions, the insurer must renew the policy each ...

A specific Medicare Advantage plan has sparked confusion online after a new deductible took effect this year. The Cigna True ...

Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...

President Donald Trump was handed an opportunity to "save" Medicare Advantage after the Biden administration's final proposal ...

Americans are eligible to enroll in Medicare at age 65, but the federal program does not cover all expenses. Personal finance ...

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, ...

Medicare Advantage enrollees can switch plans or transfer to original Medicare during the open enrollment period ending March ...

Kaleb Hoover of Nampa sentenced for fraudulently switching Medicare Advantage plans, facing probation and restitution after ...