Medicare Advantage
Some insurers, including Excellus, are trimming Medicare Advantage offerings for 2026 amid reduced reimbursements and rising care and drug costs. Affected members received termination notices and must select new coverage by year-end or revert to Original Medicare—often without Part D drug benefits unless they enroll separately. Excellus cited a 2023 Medicare wage-index change that it […]
UnitedHealth Group is under federal scrutiny following allegations of unethical coding practices related to its Medicare Advantage (MA) program. The U.S. Department of Justice is conducting both civil and criminal investigations into whether the healthcare giant manipulated diagnosis data to secure inflated reimbursements. UnitedHealth, which serves over 8 million MA recipients, disclosed its cooperation in […]
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