The U.S. Department of Justice has filed suit against three of the largest health insurers for an alleged scheme in which they paid kickbacks to brokers for steering Medicaid beneficiaries into their Medicare Advantage plans.
The lawsuit was filed in Boston federal court earlier this week and targets the insurance giants for engaging...
Outgoing CMS leaders propose new rules to enhance transparency, accountability, and consumer protections in Medicare Advantage (MA) and Part D (PDP) plans in 2026. Key changes include covering weight loss drugs, restricting AI in prior authorization, improving provider directory access on Medicare Plan Finder, and tightening regulations...
The Biden administration brought down the hammer on Medicare Advantage insurers and their brokers when the Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Advantage Part D final rule last Thursday.
The rule increases regulatory scrutiny on prior authorization, network adequacy standards and marketing for...
