Tag: Humana

Health Policy and Economics

Medicare Advantage Growth: SNPs

Medicare Advantage special needs plans drive about 85% of net growth. See why insurers are pivoting, why rural counties lead, and what to watch in 2027…by Reginald Hislop III Medicare Advantage enrollment growth has slowed…

Health Policy and Economics

Medicare Advantage SNF Denials = High

Medicare Advantage SNF denials are frequently reversed on appeal while plans shrink coverage. The dual squeeze hits skilled nursing census and revenue. This is part II of a three-part series. Part I is here: https://rhislop3.com/medicare-advantage-regional-pullbacks/…

Health Policy and Economics

Medicare Advantage Regional Pullbacks

  Medicare Advantage plan exits 2026 are shrinking rural coverage, with UnitedHealthcare and Humana leaving more counties than they enter, impacting patients…by Reginald Hislop, III Over the past several years the Medicare Advantage story has…

Health Policy and Economics

Humana, United Health: Class Action Suits over AI use in Coverage Determination

It was only a matter of time before litigation came forward regarding the use of Artificial Intelligence (AI) in primarily, Medicare Advantage plans, where coverage denials/determinations are at issue. This week, a class action suit…

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Reg

Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.

The Weekly Briffing

No noise - just what changed in healthcare policy and economics, and why it matters to your operation.