Becker's Healthcare February 18, 2025
Rylee Wilson

Medicare Advantage insurers are navigating headwinds in 2025, and new data shows prior authorization in the program continuing to grow.

Here are seven Medicare Advantage updates Becker’s has reported since Jan. 28:

  1. A federal judge will allow a lawsuit against UnitedHealth Group to partially move forward. The lawsuit alleges the company used an artificial intelligence algorithm to wrongfully deny Medicare Advantage patients post-acute care.
  2. Though margins are improving, Aetna’s Medicare Advantage business will likely operate at a loss in 2025, CVS Health CFO Tom Cowhey told investors.
  3. Atlanta-based Sonder Health Plans is rapidly expanding while aiming to keep its personalized service for members. CEO Suzanna Roberts told Becker’s the plan is rapidly expanding its customer service...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Insurance, Medicare Advantage
Prioritize Prior Authorization Reforms In Medicare Advantage
Podcast: J. Michael McWilliams on the Effects of Patient Survey Data on Risk Adjustment
New Partnerships Between Medicare and Private Insurers: What Beneficiaries Should Know
Health Equity: Why It’s Vital to Star Ratings Performance
What Forced CMS to Terminate the MA Value-Based Insurance Design Model?

Share This Article