Category: Medicare
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Providence Health Plan is closing entirely after a rescue deal for its 64,000 Medicare Advantage members collapsed
In May, Providence Health Plan told its markets it would exit most of its insurance business for 2027 and carved out a single exception. The Oregon-based insurer said it was negotiating with an unnamed national carrier to keep its Medicare Advantage line running under new ownership, so that members could stay covered and, in most…
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Humana expects to win back about 40 percent of the 600,000 members losing their Medicare Advantage plans
Six hundred thousand is the figure Humana attached to its 2027 Medicare Advantage plan exits, roughly 8 percent of the nearly 7.2 million people it covers in the program. A second number sits underneath it and has drawn far less attention. The company has told investors it anticipates recapturing roughly 40 percent of that group…
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Aetna will pay brokers no commission on 123 Medicare Advantage plans in 2027
No plan is being canceled here, and no benefit is changing. What is being removed is the payment an insurance agent earns for enrolling someone. Aetna has told the third-party marketing organizations that supply its sales force that it will pay agents and brokers nothing on 123 of its Medicare Advantage plans for the 2027…
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UnitedHealthcare says it is no longer negotiating, and University of Miami hospitals leave its Medicare Advantage network on January 1
UnitedHealthcare ended 14 months of contract talks with the University of Miami Health System on July 31 by signing a multi-year agreement that left one group of patients outside it. The deal secured in-network access at UHealth for people covered through employer plans, Affordable Care Act marketplace plans and Florida Medicaid. A different contract governs…
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Medicare’s drug deductible jumps to $700 in January, with a $2,400 out-of-pocket cap
Seven hundred dollars is the figure that governs January. That is where the standard Medicare Part D deductible lands on January 1, 2027, up from $615 in the current year, and it is the amount of covered drug spending a beneficiary absorbs before a plan begins paying its share. The increase is $85, and it…
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The subsidy holding down stand-alone Medicare drug plan premiums ends after this year, and 2027 plans are priced without it
No 2027 premium has been published for any individual Medicare drug plan, and none will be until federal officials release the plan landscape in September. What has already been settled is a subtraction. On July 28, 2026, the Centers for Medicare and Medicaid Services announced that the Part D Premium Stabilization Demonstration, the voluntary program…
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Valley Health goes out of network for UnitedHealthcare Medicare Advantage on October 1, two weeks before Medicare’s enrollment window opens
Three dates now sit within a six-week span for older adults in Virginia and West Virginia who get their care at Valley Health and carry a UnitedHealthcare Medicare Advantage card. The contract between the health system and the insurer terminates on September 30, 2026. Valley Health’s hospitals, facilities and physicians become out of network for…
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Nearly a quarter of hospital finance leaders say they have already dropped or narrowed a Medicare Advantage contract
A Black Book Research flash poll of 112 hospital finance leaders found 23.1 percent of Medicare Advantage-exposed organizations have already cut a contract. It is not a probability sample.
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Brown University Health patients have until August 31 to use a special Medicare window after their doctors left UnitedHealthcare’s network
A CMS-approved special enrollment period for Brown University Health patients on UnitedHealthcare Medicare Advantage closes August 31, 2026, and it reaches a narrow group.
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Income above $109,000 pushes the Medicare Part B premium as high as $689.90 a month, and it is based on your 2024 tax return
The 2026 Part B premium is $202.90, but income above $109,000 adds a surcharge on a six-step ladder topping out at $689.90 a month, scored on a 2024 tax return.
