Last week, a federal court in Texas issued a stay on a Centers for Medicare and Medicaid Services (CMS) final rule that would have increased oversight of agents and brokers contracting by Medicare Advantage plans. The stay will remain in effect for the duration of the lawsuit unless lifted by an appellate court.
The stay follows the...White Papers, E books, Reports and more
Last week, the Private Equity Stakeholder Project (PESP) published a study on the role of private equity (PE) in Medicare Advantage. The study found that PE investment has fallen since the increase of interest rates and the implementation of stricter regulations.
The study looked at PE activity between 2016 and 2023, and analyzed...
On Monday, the Centers for Medicare and Medicaid Services (CMS) proposed a new rule that would impose tighter regulations on Medicare Advantage insurers. The rule covers some hotly debated issues including prior authorization, supplemental benefits and marketing.
President Joe Biden announced last year that his administration would...
Last week, the Senate Finance Committee held a hearing on the topic of "cracking down on deceptive practices" related to the advertisement of Medicare Advantage (MA) plans.
The hearing covered a long list of issues with third-party marketers who represent MA plans, including allegations of false information, harassment, switching...
A new study reviews the volume of advertisements that seniors receive during or around the Medicare enrollment period, and how these reports relate to recent changes in how Medicare Advantage programs will be expected to conduct future advertising campaigns.
The Commonwealth Fund found that "certain marketing experiences reported in ...
The Centers for Medicare and Medicaid Services (CMS) have heard beneficiary complaints about predatory marketing tactics by Medicare Advantage (MA) companies and is taking action.
In August, Senator Ron Wyden (D-Ore.), Chair of the Senate Finance Committee, began an investigation into deceptive marketing practices . Last week, the...
It's safe to say that Medicare Advantage is now a well-established industry all its own -- within but separate from both the Medicare program and commercial insurance. With this new market dominance, the Medicare Advantage industry is now facing the same things all major industries must deal with: increased oversight, regulation and...
This week in Medicare Advantage news, prior authorization reform garners the support of the Better Medicare Alliance, Puerto Rico offers insight into the future of the MA program, a CMS rule on third-party marketing goes into effect and we share some acquisition news.
Last week, the Better Medicare Alliance, the largest lobby for...
