Category: Medicare
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Medicare pays insurers $13.4 billion in bonuses this year, and UnitedHealth takes $3.9 billion
Medicare will send $13.4 billion in quality bonus payments to Medicare Advantage insurers in 2026, according to an analysis published by KFF, the nonpartisan health policy research organization. That is up from $12.7 billion in 2025 and more than four times the $3.0 billion the program cost a decade earlier, in 2015. The bonuses arrive…
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Humana holds 20 percent of Medicare Advantage members but collects 11 percent of the bonus money
Humana is the second-largest company selling Medicare Advantage plans, covering about one in five of the program’s enrollees nationwide. That kind of footprint would normally translate into a proportional cut of the extra federal dollars Medicare hands out each year to reward higher-quality plans. In 2026, it has not worked out that way. Humana holds…
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Seniors without obesity-drug coverage have paid $50 a month since July, and 500,000 of them saved $216 million
Millions of older Americans who take GLP-1 medications for obesity are now paying a flat $50 a month for the drugs, under a Medicare demonstration that started July 1, 2026. The Trump administration says the program has already produced a nine-figure savings total for seniors who previously had no coverage for these medicines, some of…
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The count of health systems dropping Medicare Advantage this year has climbed from 25 to 28
Becker’s Hospital Review runs a tracker that follows hospitals and health systems ending some or all of their Medicare Advantage contracts, and the number on it keeps climbing. Earlier this month it stood at 25 systems. As of August 31, it reads 28. This isn’t a one-time report — it’s a page Becker’s rewrites in…
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Presbyterian is ending most Medicare Advantage plans for 30,000 New Mexicans after a $59 million loss
Presbyterian Health Plan members in New Mexico are getting two different messages about their Medicare Advantage coverage, and the timing is what matters most. Nothing changes before January 2027 — same doctors, same drug coverage, same premiums for the rest of this year. But starting with the 2027 plan year, Presbyterian is dropping most of…
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A North Carolina medical center left Blue Cross Medicare Advantage in July and leaves UnitedHealthcare at year-end
If you get your care from CarolinaEast Medical Center in New Bern, North Carolina, and you’re on a Medicare Advantage plan, the hospital building and your own doctor’s office are no longer treated the same way by your insurance card. One lost its in-network status two months ago. The other is on a countdown that…
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Nine small-town hospital systems dropped Humana, Aetna or UnitedHealthcare Medicare Advantage this year
Nine community and county hospital systems have walked away from a Medicare Advantage contract with Humana, Aetna or UnitedHealthcare so far this year, according to a running tally kept by Becker’s Hospital Review plus one small-market system confirmed independently. For patients in a big metro area, that usually means driving to a different hospital across…
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Most Mass General Brigham primary care doctors no longer take UnitedHealthcare or Blue Cross Medicare Advantage
Losing a primary care doctor is not the same problem as losing a hospital, and that distinction sits at the center of Mass General Brigham’s latest Medicare Advantage decision. Since January 1, 2026, most primary care doctors across the health system’s Eastern Massachusetts practices have been out of network for Medicare Advantage plans sold by…
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Rhode Island patients kept a UnitedHealthcare plan after the hospitals left, and now the doctors are gone too
Rhode Islanders who stuck with their UnitedHealthcare Medicare Advantage plan last year specifically to keep seeing a Brown University Health doctor are now finding that the doctor is gone from the network too. Brown Health’s hospitals left UnitedHealthcare’s Medicare Advantage network in July 2025; as of July 1, 2026, the health system’s outpatient physician offices…
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Medicare Advantage plans are set to collect $13 billion more next year while insurers keep cutting plans
The federal government has finalized how much it will pay private Medicare Advantage insurers for next year, and the total is bigger than most of the plans it funds. That increase is landing at the same time several of the country’s largest insurers are pulling Medicare Advantage plans out of counties across the country, shrinking…
