Medicare Advantage

Cleveland Clinic patients with Florida Blue employer-sponsored plans, Affordable Care Act marketplace coverage and Medicare Advantage plans will continue to have access to in-network care.

Florida Blue has assured patients coverage is guaranteed through May as talks continue, although Cleveland Clinic Florida warns they “could” be out of network if the deadline passes without a deal.

That change takes place July 1, seven months after Aetna’s Medicare Advantage PPO and HMO also dropped Moffitt, the region's only NCI-designated comprehensive cancer center.

Medicare officials defend the use of home visits that often spot medical conditions that are never treated.

People will be able to sign up for 2025 coverage between Oct. 15 and Dec. 7. Experts say the potential changes make it important for shoppers to study closely any coverages they expect to renew.

Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.

Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and predicts what kind of care an individual will need. New rules will ensure humans are part of the process.

Kaiser Health News has released never-before-seen details of federal audits as the government weighs action against dozens of Medicare Advantage plans.

Health experts are warning older adults about an uptick in misleading marketing tactics that might lead some to sign up for Medicare Advantage plans that don’t cover their doctors or prescriptions and drive up their out-of-pocket costs.

Private Medicare Advantage health plans are increasingly ending coverage for skilled nursing or rehab services before medical providers think patients are healthy enough to go home, doctors and patient advocates say.

The Government Accountability Office and Health and Human Services inspector general’s office say seniors enrolled in the program are suffering and taxpayers are getting bilked for billions of dollars a year.

Employers are increasingly using the Advantage program as an alternative to existing retiree plan and traditional Medicare. As a result, the federal government is paying the “overwhelming majority” of medical costs, according to an industry analyst.