The cuts will mean turmoil and confusion for many beneficiaries, as well as the risk of higher premiums, fewer benefits or both.

If you’re considering enrolling in a Medicare Advantage plan (also known as Medicare Part C) in West Virginia to meet your various health insurance needs, you’re not alone. According to recent Census data estimates,

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

Medicare Advantage enrollees can switch plans or transfer to original Medicare during the open enrollment period ending March 31.

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.

Humana Inc. forecast 2025 profit that fell short of Wall Street’s expectations, as the company said it will invest heavily in improving quality in its Medicare Advantage plans, its biggest business.

Humana is a reputable health insurance provider that offers a wide range of Medicare Advantage plans that suit various budgets and needs of older adults nationwide.

Investors are looking for an end to the Medicare Advantage blues when the health insurer Humana reports its fourth-quarter results on Tuesday morning. Humana shares have lost a qu