Medicare Advantage plans will receive a 7.2% payment increase in 2026. Impact on benefits and coverage, explained.

These measures are expected to increase the volume of audits significantly, allowing CMS to review more medical records and ensure the accuracy of payments to Medicare Advantage plans. The news ...

The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits ...

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology ...

Humana Inc. (NYSE:HUM) on Wednesday posted a first-quarter adjusted EPS of $11.58, up from $7.23 a year ago, beating the ...

Valera Golovniov / SOPA Images / LightRocket via Getty Images Humana beat first-quarter profit and sales estimates as it reduced costs and exited some Medicare Advantage plans. The insurer posted ...

In a complaint filed in Boston federal court, the DOJ alleged that CVS Health’s Aetna, Elevance Health and Humana ... sell the Medicare Advantage plans of insurers who did not pay them ...

This adjustment translates to an estimated $25 billion increase in total government payments to Medicare Advantage plans in 2026-funded by taxpayer dollars. Critics of the measure argue that the ...

According to CMS Administrator Dr. Mehmet Oz, the audits will ensure that Medicare Advantage plans are accurately billing the ...