The report, completed by U.S. Department of Health and Human Services inspector general investigators, discovered private Medicare plans denied 18% of claims allowed under Medicare coverage rules.

About 28 million Americans are enrolled in Medicare plans administered by private insurance companies called Medicare Advantage. Now through Dec. 7, adults 65 and older can select 2023 Medicare ...

Congress created Medicare Advantage in 2003 as a new and improved market-based alternative to traditional Medicare, where private health plans, paid on a defined contribution basis, ...

People with private Medicare coverage may not be getting the mental health services they need because they cannot find a psychiatrist within their plan’s network, according to a new study.. More ...

UnitedHealthcare or Humana had the largest market share in two-thirds of U.S. counties, making up nearly 60% of total MA ...

Understanding the limitations of Original Medicare is crucial for retirees to avoid unexpected expenses. While it covers ...

Private insurers are increasing their plan offerings for Medicare Advantage (MA) in 2020. Nearly 3,150 MA plans, which include expanded coverage options not available under basic Medicare, will be ...

Millions of Americans rely on Medicare for healthcare, yet gaps in coverage can lead to significant out-of-pocket expenses.

Medicare Advantage costs are based on average 2025 rates that include prescription drug coverage. Special needs plans, Part-B-only plans, sanctioned plans, PACE plans, prepayment plans (HCPPs), ...

As in the case of Medicare advantage plans, all too often, Medicare is a follower, not a leader, on the innovation front. It is more likely to slow things down than to speed things up.

Just 10 percent of Medicare beneficiaries get by on Medicare alone — the rest supplement the coverage with Medicare Advantage, Medigap, Medicaid, Tricare or other public and private coverage.