Medicare
CMS finalizes rule to streamline Medicare prior authorizations
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The Centers for Medicare & Medicaid Services (CMS) has finalized a rule to reduce administrative burdens from prior authorization requirements in Medicare Advantage plans. The policy aims to speed up approvals and improve patient access to care. It will affect millions of enrollees starting in 2026.
Humana previews higher Medicare Advantage star ratings
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Health insurer Humana has provided an early look at its Medicare Advantage plan ratings, projecting an average of 4.38 stars for 2025. The company anticipates improved reimbursements as a result. Shares in Humana rose nearly 9% following the announcement.
Fewer seniors expected to enroll in Medicare Advantage next year
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Enrollment in Medicare Advantage plans is projected to decline for the first time in over a decade, with more seniors opting for original Medicare in 2025. Insurers are scaling back offerings amid rising costs and regulatory pressures. This shift could affect millions of beneficiaries seeking coverage.