Medicare Advantage plans are offered by private insurance companies and are a popular form of health insurance coverage for U.S. adults age 65 and older who choose to forgo Original Medicare. However,

The cuts will mean turmoil and confusion for many beneficiaries, as well as the risk of higher premiums, fewer benefits or both.

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

Each year, more Medicare beneficiaries are turning to Medicare Advantage plans offered by private insurance providers to meet their health insurance needs. In fact, nearly 34 million older adults were enrolled in Medicare Advantage coverage in 2024,

Medicare Advantage enrollees can switch plans or transfer to original Medicare during the open enrollment period ending March 31.

Once you've selected a new Medicare Advantage plan, it will take effect in the month following your request to change. For example, if you select a new plan in February, you will remain on your existing plan throughout that month and switch over to the new plan on March 1.

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage organization (MAO)-specific adjustment factors would improve the financial outlook for many MAOs but reduce or eliminate the financial gain for MAOs that upcode aggressively.