If you work with Medicare, this episode is required listening.

👉 Hear the full breakdown: lnk.to/asg799

#MedicareAdvantage #InsuranceLife #CMSUpdates #AgentSurvivalGuide #MedicareChanges #MedicarePartD #CMSFinalRule #MedicareUpdates #MedicareCompliance #MedicareEnrollment #TPMO #SOA #SSBCI

CMS Proposes Deadlines for Prior Authorization Requests in Medicare Advantage Urgent requests would require an answer in 24 hours, and standard requests in 72 hours

#CMS proposal: #MedicareAdvantage plans must respond to urgent #priorauthorization requests for medications within 24 hours, and standard requests within 72, The rule would require full disclosure of claims denials and appeals outcomes. @hcfanc.bsky.social

Incuvio helps MA plans make this shift - from documentation-heavy, retrospective workflows to prospective, encounter-led risk programs.

If your RAF strategy still leans on retrospective chart review, 2027 is the year to change that.

#MedicareAdvantage #RAF #CY2027 #Incuvio

Original post on mastodon.social

Medicare Advantage = BAD.

Medicare Advantage is private, FOR-PROFIT insurance that overcharges American taxpayers by billions every year and regularly denies seniors the care they need.

...so course, Trump is trying to privatize ALL Medicare.

✅ The Medicare Advantage Trap: What They Don’t […]

Went to pick up a wheelchair and some other #DME for an ailing loved one and spotted a sign on the DME reception desk: We do not accept #MedicareAdvantage plans 😬

My relative has regular Medicare, thank goodness. Letting corporations privatize govt services to rip off elders ought to be illegal

3M eligible. Not enrolled.

Not a data problem.
A system failure.

30–60 days. 25% drop-off.

That’s not enrollment. That’s leakage.

#MedicareAdvantage #DualEligible #HealthPlans #HealthcareAI

That’s where Incuvio Health comes in.

We connect risk capture, HCC documentation, and Stars performance—so execution matches strategy.

This isn’t about pricing anymore.
It’s about your operating model.

And the time to act is now.

incuvio.com

#MedicareAdvantage #HealthcareOps #RiskAdjustment

ENGLISH
🦻 Did you hear? #MedicareAdvantage insurers will receive an increase in federal payments totaling $13 billion. But we can't have #MedicareForAll? We can fight back, start by urging candidates and elected officials to sign the #PatientsOverProfits pledge: www.patientsoverprofits.org

🦻 ¿Escuchaste? Las aseguradoras de #MedicareAdvantage recibirán un aumento de casi $13.000 millones en sus pagos federales. ¿Pero no podemos tener #MedicareParaTodos? Urgimos a los candidatos y oficiales a firmar la promesa #PacientesPorEncimaDeLasGanancias: www.patientsoverprofits.org

Insurers have eliminated 11% of prior authorizations under reform pledge Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. | Last summer, the insurance industry broadly agreed to reform a major healthcare pain…

#AHIP and the Blue Cross Blue Shield Association found health plans reduced #priorauthorizations for an array of services by 11% under the pledge. This means 6.5 million fewer prior auth requests for patients. Reductions in #MedicareAdvantage were 15%.

Medicare Advantage billing is complex and costly if mishandled.

Prior auths, denials, and delays require strategy. Accurate coding and tracking improve collections.

Read more: shorturl.at/teicx

#MedicareAdvantageBilling #MedicareAdvantage #MedicalBilling #RCM

#trends today for 'taiwan opposition' 'medicare advantage' & 'keine straftat'

Click/Tap below:

www.newsmason.com?query=%22tai...

www.newsmason.com?query=%22med...

www.newsmason.com?query=%22kei...

#taiwanopposition #medicareadvantage #keinestraftat

So we look at deductibles, and utilization management and formulary composition and pharmacy network sizes

Deductibles in 2025 were higher than 2021-2024 trend in both #MedicareAdvantage and #StandAlonePlans ⬆️

Premiums were lower ⬇️
Smaller formularies for low tier and protected drugs ⬇️

5/7

Insurer Exits After the Inflation Reduction Act Part D Redesign This cross-sectional study examines the number of beneficiaries affected by insurance plans exiting the market following the Inflation Reduction Act redesign of Medicare Part D.

Several other researchers have done a great job describing other insurer reactions to the IRA

Cai et al described insurer exits from the market jamanetwork.com/journals/jam...

More recently Meiselbach et al showed large #MedicareAdvantage exits 10.1001/jama.2026.0028

3/7

Medicare Plan Switching and Hospice Care Among Decedents With Advanced Cancer This cohort study reports on differences in hospice use between Medicare decedents with advanced cancers who were continuously enrolled in Medicare Advantage, traditional Medicare, or who switch plans...

New #pallonc 📄: Continuous #medicareAdvantage enrollees were most likely to receive hospice at home, while those who switched from MA to TM more frequently received hospice care in nursing homes. Plan switching near the EOL may reflect access barriers.
@jamanetworkopen.com @xinhuphd.bsky.social

Health insurers secured a better Medicare Advantage rate for 2027, and their stocks are soaring “A beaten-down industry is on the cusp of potentially two years of earnings growth,” said Raymond James analyst Chris Meekins.

Health insurers secured a better #MedicareAdvantage rate for 2027, and their stocks are soaring.
www.marketwatch.com/story/health...

I’m hopeful that these changes will reward the provider groups focused on the right things. Risk scores are still projected to increase around 3%, but the winners and losers will be split by chart review dependency, not quality.

#MedicareAdvantage #HealthcareFinance #ValueBasedCare #RiskAdjustment

Financial insights visualization: CMS finalized 2027 Medicare Advantage and Part D payment policies with a 2.48% net average increase, a figure repeated across many tweets and attributed to CMS-linked or news-link posts., The final 2.48% rate was widely described as a marked improvement versus the January proposal of 0.09% or roughly flat, which several tweets said had weighed on managed-care stocks.

CMS lifts MA 2027 outlook: final +2.48% vs Jan’s +0.09%, adding >$13B and driving a sharp managed-care rerate. $UNH rebounded from $277, cleared the $285 50DMA; $HUM/$CVS/$ELV also surged. Watch Apr 21 $UNH EPS, macro Iran risk. $UNH $HUM #MedicareAdvantage

Trump administration finalizes better-than-feared Medicare Advantage payment rate in boost to health insurers Trump admin finalized a 2.48% payment rate increase for Medicare Advantage plans in 2027, exceeding ...

Trump admin finalized a 2.48% payment rate increase for Medicare Advantage plans in 2027, exceeding initial proposal. UnitedHealth, CVS, and Humana stocks jumped. #MedicareAdvantage #MedicareAdvantage #News

Medicare Advantage Payments Rise 2.48% for 2027 CMS will raise Medicare Advantage payments 2.48% for 2027, adding over $13bn to plan payments (CNBC Apr 6, 2026), reducing downside risk for insurers.

Medicare Advantage Payments Rise 2.48% for 2027: CMS will raise Medicare Advantage payments 2.48% for 2027, adding over $13bn to plan payments (CNBC Apr 6, 2026), reducing downside risk for insurers. 👈 Read full analysis #MedicareAdvantage #Healthcare #CMS #HealthInsurance #MedicarePayments

Curitics Conversations Episode 3 Trailer Is Here 🎙️

John Gorman and Unmesh Srivastava join Sachin H. Jain for an honest conversation about Medicare Advantage covering policy pressure, operational tradeoffs, etc.

#Healthcare #MedicareAdvantage #ValueBasedCare #CuriticsConversations

Medicare Star Ratings Give Insurers $18B Boost CMS changes to Star Ratings will add $18B to insurers (Apr 4, 2026), about $590 per Medicare Advantage enrollee, reshaping payer margins and competitive dynamics.

Medicare Star Ratings Give Insurers $18B Boost: CMS changes to Star Ratings will add $18B to insurers (Apr 4, 2026), about $590 per Medicare Advantage enrollee, reshaping payer margins and competitive dynamics. 👈 Read full analysis #Medicare #HealthCare #Insurance #StarRatings #MedicareAdvantage

Medicare 2027 Changes & Trump Funding Threat Explained Trump floated ending federal Medicare funding while CMS rolls out 2027 Medicare Advantage rule changes. Learn what it means for 65 million enrollees.

Medicare 2027 Changes & Trump Funding Threat Explained
Trump floated ending federal Medicare funding while CMS rolls out 2027 Medicare Advantage rule changes. Learn what it means for 65...

#Medicare #Medicaid #TrumpBudget #MedicareAdvantage #HealthcareCuts
https://scrollworthy.org/trending/medicare

Senate Democrats call on CMS to rein in Medicare Advantage abuses A group of Democratic senators led by Elizabeth Warren is pushing the Centers for Medicare and Medicaid Services to rein in abuses from Medicare Advantage insurers as the Trump administration…

Senate Dems call on CMS to rein in #MedicareAdvantage abuses. They propose excluding diagnoses from chart reviews and health risk assessments from risk scores and addressing the favorable selection of healthier patients that leads to overpayments. @hcfanc.bsky.social

#MedicareAdvantage is a scam.
Politicians getting kickbacks must be held #accountable.

#DSNP #DualEligible #MedicareAdvantage #FIDE #HIDE #GrassrootsMarketing #MedicareEnrollment #InsuranceMarketing #CommunityOutreach #ASGPodcast #InsurancePodcast

Why millions of seniors have suddenly lost health care coverage Elderly people are forced to hunt for options when Medicare Advantage plans withdraw from unprofitable markets.

One of the risks for #MedicareAdvantage beneficiaries, is that when profit margins are threatened, insurance companies can suddenly withdraw coverage. This year the churn reached a peak. (Gift article) @hcfanc.bsky.social
wapo.st/4rT1XOB

-- Eliminating the EHO4All reward leaves a real policy gap. Plans serving vulnerable populations consistently score lower — bring it back.

So next time comments become available, let’s push for this. Maybe we can better align these incentives towards the outcomes we all want.

#MedicareAdvantage

D-SNP's next competitive edge won't come from expanding to more counties. It will come from structural integration — connecting Medicare, Medicaid, finance, and quality into one operating model.

🔗 Read: www.rightskale.ai/Article5.html

#DSNP #DualEligible #MedicareAdvantage

#Medicare flex cards, offered by some #MedicareAdvantage plans, can help you pay for services and products like over-the-counter medications, glasses and hearing aids.