Medicare & Medicaid
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.
There are increased monthly premiums, out-of-pocket costs and the elimination of some Medicare Advantage plans entirely.
CMS is expected to release the MA and Part D star ratings next week, ahead of the Oct. 15 Medicare open enrollment.
The deal with Pfizer will reduce the price of the company’s prescription drugs for Medicaid to Most Favored Nation pricing.
Growth in SNPs comprises nearly half of the total increase in MA enrollment since 2018.
The monthly premium will fall to $14, and benefit options will remain stable, CMS says.