Medicare Advantage Signal Feed
Latest scored signals across all monitored sources.
729 signals
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CMS appeals decision requiring Clover Health star ratings redo
The Centers for Medicare and Medicaid Services last month increased Clover Health's Medicare Advantage quality scores.
Clover Health -
Startup Assured banks $19M to build out AI-powered platform for provider onboarding
The company plans to use the funding to expand research and development and go-to-market teams, Assured Co-Founder and President Rahul Shivkumar told Fierce Healthcare.
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Samsung launches beta version of AI-powered health assistant across US
The tool, dubbed Samsung Health Assistant, allows users to ask questions and receive personalized guidance and recommendations in the Samsung Health app.
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Erlanger Health System signs letter of intent to join Prisma Health
The tentative deal includes a $2 billion strategic capital commitment from Prisma, and would yield a 27-hospital, $9 billion operating revenue nonprofit in the southeast.
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S. 1199, SBA Fraud Enforcement Extension Act
As passed by the Senate on April 29, 2026
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Health insurers use a whole arsenal of tools to deny care, increase profit
Last summer, the Trump administration, physician advocates, public health academics and activists requested a voluntary commitment from commercial health insurance industry CEOs to streamline the prior authorization process. Commercial health insurance companies like UnitedHealthcare, Cigna, Aetna, CVS Health, Humana and others signed onto a six-part voluntary pledge, understanding they would be required to reach a […]
UnitedHealthcareHumanaUnitedHealthcare + Humana · 51 signals · last 30 days -
Labor Department pitches electronic disclosure rule for group health plans
The Department of Labor is proposing a new rule that would let employer group health plans deliver required documents to workers electronically by default, a change the department estimates could save plans $3.9 billion over the next decade. The proposed rule, issued July 22, would create a safe harbor letting the roughly 2.8 million group […] The post Labor Department pitches electronic disclosure rule for group health plans appeared first on Becker's Payer Issues | Payer News .
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CMS proposes new provider tax class for payers in $246B Medicaid overhaul: 8 things to know
CMS on July 21 proposed sweeping changes to Medicaid provider tax policy that would replace the longstanding 6% federal threshold with state- and provider-specific limits, phase down allowable taxes in Medicaid expansion states, create a new provider tax class for payers and strengthen federal oversight of a financing mechanism used by nearly every state. The […] The post CMS proposes new provider tax class for payers in $246B Medicaid overhaul: 8 things to know appeared first on Becker's Pay...
Policy / Regulatory Changes · 70 signals · last 30 days -
Medicare Advantage Beneficiaries Spend 36% Less on Out-of-Pocket Costs Than Those in Traditional Medicare — and the Gap Keeps Growing
Despite cost savings, MA beneficiaries report equal or better satisfaction with care quality than similar Fee-For-Service Medicare beneficiaries WASHINGTON — A new independent analysis finds Medicare Advantage beneficiaries spent … Continue reading "Medicare Advantage Beneficiaries Spend 36% Less on Out-of-Pocket Costs Than Those in Traditional Medicare — and the Gap Keeps Growing" The post Medicare Advantage Beneficiaries Spend 36% Less on Out-of-Pocket Costs Than Those in Traditional Medica...
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MLN Connects Newsletter for July 23, 2026
date: Thu, 23 Jul 2026 16:00:00 -0400 subject: In This Edition: Nursing Homes | Clinical Labs | ACOs
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Struggling hospitals push states to speed merger approvals
As states expand oversight of healthcare transactions, struggling hospitals warn longer reviews could derail merger plans meant to preserve services.
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CMS moves to codify limits on Medicaid provider taxes
The new proposed rule is meant to prevent states from guaranteeing providers will be refunded for their taxes, and should save Washington $246 billion over the next decade, regulators said.
Policy / Regulatory Changes · 70 signals · last 30 days -
Chairman Hudson Delivers Opening Statement at Subcommittee on Communications and Technology Hearing on Protecting Communications Networks and Improving Connectivity
**WASHINGTON, D.C. -** Congressman Richard Hudson (NC-09), Chairman of the Subcommittee on Communications and Technology, delivered the following opening statement at today's hearing titled _Legislative Hearing on Protecting Communications Networks and Improving Connectivit_y_._ **Subcommittee Ch...
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C&T Subcommittee Holds Hearing on Protecting Communications Networks and Improving Connectivity
**WASHINGTON, D.C.** – Today, Congressman Richard Hudson (NC-09), Chairman of the Subcommittee on Communications and Technology, led a hearing titled _Legislative Hearing on Protecting Communications Networks and Improving Connectivity._ _“Today, we considered several bills that address important i...
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OIG: States can improve enforcement of Medicaid MCOs' fraud referrals
As part of the Trump administration's ongoing war on fraud, waste and abuse in healthcare, a new report looks at how states can improve the volume of fraud referrals from managed care organizations.
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Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes Proposed Rule (CMS-2452-P)
Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes Proposed Rule (CMS-2452-P)
Policy / Regulatory Changes · 70 signals · last 30 days -
CMS proposes more restrictions on provider taxes that fund Medicaid
The Centers for Medicare and Medicaid Services proposed a regulation that would limit a key Medicaid financing tool.
Policy / Regulatory Changes · 70 signals · last 30 days -
Trump administration says it’s deferring $1B in Medicaid payments to California and Minnesota
The Trump administration said it was deferring more than $1 billion in Medicaid payments to Minnesota and California because of “suspected fraud and noncompliance.”
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Upcoming FDA peptide meeting puts industry on edge
Health and Human Services (HHS) Secretary Robert F. Kennedy Jr.'s recently reformed committee on compounding pharmacies will meet this week to discuss adding more peptides to the list of substances that pharmacies can produce. But industry observers are conflicted over treating peptides — which Kennedy has said he's a "big fan of" — like pharmaceuticals. The Pharmacy Compounding Advisory...
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AdventHealth, Intermountain Health plan to form Denver-area joint venture
The entity would comprise five AdventHealth hospitals, three Intermountain hospitals and their affiliated sites. It would be managed by AdventHealth, which is also expected to be the joint venture's majority owner.
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UnitedHealthcare, ECU Health extend agreement until August
Hospitals under Greenville, N.C.-based ECU Health — a collaboration between East Carolina University and Vidant Health — will remain in network for some UnitedHealthcare plans through Aug. 6, the insurer and health system said. Hospital access will continue for employer-sponsored commercial, Medicare Advantage and individual family plans until early August, rather than July 15. “We […] The post UnitedHealthcare, ECU Health extend agreement until August appeared first on Becker's Payer Issues...
UnitedHealthcareUnitedHealthcare · 37 signals · last 30 days -
Imagine360 rolls out new health plan offering
Imagine360 introduced a new health plan offering called Choice360 July 21, which will launch for the Jan. 1, 2027, plan year. Imagine360 offers alternative health plans for self-funded employers. Choice360 incorporates Health Rosetta’s advisor support model to help employers maximize value. Choice360 will rely on a group of integrated solution partners in direct primary care, […] The post Imagine360 rolls out new health plan offering appeared first on Becker's Payer Issues | Payer News .
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STAT+: Rare disease drugmakers try to avoid Trump price cuts
Plus, GOP voters want a crackdown on health care fraud, and how PBMs are skirting state laws.
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Karoo Health banks $16.2M series A to advance value-based cardiology platform
The company currently supports a network across 11 states made up of more than 600 cardiology providers, executives say.
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Trump admin pausing over $1B in Medicaid payments to California, Minnesota
The funding freezes are due to “suspected fraud and noncompliance,” U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. said in a Tuesday press conference.