How home medical equipment & in-home providers can align with Medicare Advantage priorities
Medicare Advantage
The dataset is aimed towards home health & skilled nursing organizations
ATLANTA—Trella Health, a provider of post-acute analytics and insights, announced the release of its latest Medicare Advantage (MA) data aimed to help home health and skilled nursing organizations navigate the MA market.
With Medicare Advantage enrollment surpassing traditional Medicare—now accounting for 55.4% of all Medicare beneficiaries—the demand for timely, targeted and granular MA insights is reshaping provider growth strategies in an MA-first landscape.
U.S. insurance providers committed to streamlining the prior authorization process in a roundtable with federal agencies, CMS said
WASHINGTON—Top United States health insurance providers pledged to streamline and improve the prior authorization processes for Medicare Advantage, Medicaid Managed Care, Health Insurance Marketplace and commercial plans covering nearly eight out of 10 Americans, Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz announced on Monday, June 23.
The agency will begin auditing all eligible Medicare Advantage contracts each payment year
BALTIMORE, Maryland—The Centers for Medicare & Medicaid Services (CMS) announced a significant expansion of its auditing efforts for Medicare Advantage (MA) plans. Beginning immediately, CMS will audit all eligible MA contracts for each payment year in all newly initiated audits and invest additional resources to expedite the completion of audits for payment years 2018 through 2024.
Patina Total Health provides personalized, age-friendly care & support to help Medicare Advantage plan members navigate their health care
PHILADELPHIA—Patina, the virtual and in-home care provider, announced the launch of a new population health service called Patina Total Health (TM). The service provides personalized, age-friendly care and support to help Medicare Advantage plan members stay healthy, get the right care and more easily navigate their health care.
Stop avoiding & start partnering
The National Alliance for Care at Home commented on CMS’ proposed 2026 policy changes to Medicare Advantage (MA) plans
WASHINGTON—The National Alliance for Care at Home (The Alliance) submitted comments on the proposed Centers for Medicare & Medicaid Services (CMS) contract year 2026 policy and technical changes to Medicare Advantage (MA) programs.
The 2026 proposed policies would continue to keep Medicare Advantage and Part D stable
BALTIMORE—The Centers for Medicare and Medicaid Services (CMS) released its calendar year (CY) 2026 advance notice for the Medicare Advantage (MA) and the Medicare Part D prescription drug programs, which would update payment policies for these programs.
A letter sent to Oz, the president-elect’s nominee for Centers for Medicare & Medicaid Services Administrator, raises concern with his ties to Medicare Advantage & UnitedHealth
WASHINGTON—A group of U.S. senators have written a letter expressing concern about “deep financial ties” the potential head of the Centers for Medicare and Medicaid Centers (CMS), Mehmet Oz, has with Medicare Advantage. The letter was written by multiple democratic senators, including Sen.
Katie Smith Sloan, president and CEO of the nonprofit provider association, released a statement in response to the Centers for Medicare & Medicare Services contract year 2026 Medicare Advantage & Part D proposed rule
WASHINGTON—LeadingAge, an association of nonprofit providers of aging services, released a statement from its president and CEO, Katie Smith Sloan, regarding on the recently released Centers for Medicare and Medicaid Services (CMS) contract year (CY) 2026 Medicare Advantage (MA) and Part D proposed rule. The full statement by Sloan is detailed below.
New alliance steps up as voice for providers & patients
The Office of the Inspector General reviewed Medicare Advantage companies’ use of health risk assessments & offered suggestions to the Centers for Medicare & Medicaid Services
WASHINGTON—The Office of the Inspector General (OIG) reviewed Medicare Advantage (MA) companies’ use of health risk assessments (HRAs), which often increase payments to MA plans by billions of dollars. As a result of the review, OIG offered suggestions to the Centers for Medicare and Medicaid Services (CMS).
The recent Harvard School of Public Health study found the federal government may be overpaying for veterans’ health care in Medicare Advantage plans
BOSTON—A new study led by the Harvard T.H. Chan School of Public Health revealed Medicare Advantage (MA) plans receive billions of federal dollars for enrolling veterans who receive no Medicare services.
Experts say the future of Medicare Advantage plans could vary depending on presidential administration
Editor’s Note: This story was written and released prior to any election result announcements.
By Stephanie Armour
On the campaign trail, both former President Donald Trump and Vice President Kamala Harris are eager to portray themselves as guardians of Medicare. Each presidential candidate has accused the other of backing spending cuts and other policies that would damage the health insurance program for older Americans.
LeadingAge President & CEO Katie Smith Sloan released a statement in response to the U.S. Senate Permanent Subcommittee on Investigations’ Medicare Advantage denial of care report
WASHINGTON—LeadingAge, an organization aiming to support nonprofit aging services providers, released a statement from Katie Smith Sloan, the company’s president and CEO, in response to the U.S. Senate Permanent Subcommittee on Investigations’ report on Medicare Advantage’s denial of post-acute care. The report, “Refusal of Recovery: How Medicare Advantage Insurers Have Denied Patients Access to Post-Acute Care,” was released Thursday, Oct. 17.
The statement made by Sloan is below.
Katie Smith Sloan, president & CEO of LeadingAge, responded to the Medicare Advantage flex card guidance letter sent to the Biden Administration
WASHINGTON—Katie Smith Sloan, president and CEO of LeadingAge, an association of nonprofit providers of aging services, responded to a letter sent by 34 members of congress to President Joe Biden’s Administration regarding the Medicare Advantage (MA) plan “flex cards.
Below is Sloan's response:
Move will allow Medicare Advantage and Medicaid members to use prepaid card at independent pharmacies
SPARTANBURG, South Carolina—NationsBenefits, a supplemental benefits and health care financial technology solutions company, announced its partnership with pharmacy software compay RedSail Technologies.
A call for all hands on deck to secure a better 2025 for the HME industry
The new division aims to meet the demand from health care
WASHINGTON—Aloe Care Health has launched a new division, Aloe Care Health Solutions, to address the needs of health care organizations serving older adults, such as Medicare Advantage, Medicaid, home health and senior living. The announcement was made at the Medical Alert Monitoring Association conference in Washington D.C.
Make sure you’re up to date on Medicare Advantage requirements