Medicare & Medicaid
Tightening of MA market affects broker commissions and choice, says Urban Institute report.
An estimated 3,000 workers are temporarily being called back on Monday, October 27.
The system alleges UHG is also overstating the sickness of members to collect higher MA payments.
In OIG's estimation, almost three quarters of inactive, or “ghost,” providers should not have been listed as network providers.
The number of Medicare Advantage plans in the state has been cut from eight in 2025 to three for the 2026 plan year.
Nationwide, there are inconsistencies in beneficiaries’ ability to afford care, access doctors, meet prior authorization requirements and avoid unnecessary hospitalizations.
Their concern is errors that could cause thousands of eligible Medicaid beneficiaries to be denied coverage.
The surgeries took place despite medical research showing they provide little to no clinical benefit, authors say.
Court determined CMS did not act unlawfully or exceed its authority in issuing the ratings.
Thirty-four MA plans earned 5 stars in 2026 star ratings.