Prior Authorization Metrics Provide New Insights into Insurer Practices, but Gaps Remain
Data collected for this analysis represent the largest insurers in each business segment — those with at least 2.5% market...
Decoding Medicare Advantage Coding Intensity
In recent years, federal payments to Medicare Advantage plans, and how they are adjusted for enrollee health status, have come...
Medicare Will Spend More Than $13 Billion on the Medicare Advantage Quality Bonus Program in 2026
The Medicare Advantage quality bonus program, established by the Affordable Care Act, increases Medicare payments to Medicare Advantage plans that...
Key Facts About Medicare Spending Trends and Projections from the 2026 Medicare Trustees Report
On June 9, 2026, the Medicare Trustees issued the annual report on the financial status of the Medicare program for...
How Medicare Advantage Rebates Disadvantage Medicare’s Stand-Alone Drug Plan Market
The Medicare Part D prescription drug benefit was designed to offer Medicare beneficiaries the choice of drug coverage from either...
Medicare Part D Enrollment, Premiums, and Cost Sharing in 2026
The average monthly premium decreased for PDPs in 2026, but the premium for Part D coverage is still substantially higher...
Medicare Advantage in 2026: Enrollment Update and Key Trends
Enrollment in Medicare Advantage, the private plan alternative to traditional Medicare, has increased steadily over the past two decades, with...
Medicare Advantage in 2026: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization
People with Medicare have the option of receiving their Medicare benefits through the traditional Medicare program administered by the federal...
Medicare Advantage Out-of-Pocket Limits: Variation and Trends
For coverage of Medicare benefits, people face a choice between traditional Medicare and private Medicare Advantage plans. While there are...
Changes to the Medicare Advantage Program Enhance Some Consumer Protections But Roll Back Others
CMS recently finalized policies as part of the 2027 Medicare Advantage final rule that both enhance consumer protections and roll...
