Medicare Advantage denials. Medicare Advantage plans, which are private insurance plans that contract with Medicare, denied 3.4 million prior authorization requests for health c

Cigna is joining the chorus of health insurance companies detailing where they will scale back Medicare Advantage offerings next year.

Cigna is reshaping its Medicare Advantage (MA) plan lineup across eight states, affecting members in 36 health plans. | Cigna is the latest company to rethink its Medicare Advantage offerings, choosing to cut plans in eight states including Florida.

Medicare Advantage plans have ramped up claim denials and prior authorization policies, leading to more contentious contract negotiations with providers.

Medicare will undergo some of the most significant changes in a generation. Changes to Medicare will include a $2,000 limit on out-of-pocket Part D drug costs, an opt-in payment plan, and some potential broad changes in Medicare Advantage plans.

Getting medical coverage denied with Medicare Advantage can be frustrating. Center for Medicare Director Meena Seshamani, M.D., examines why it could happen less.

Medicare Advantage plans have been successful in enrolling Medicare beneficiaries and delivering to those clients. Despite this, some insurers are downsizing their share of the market and hospitals are canceling or not renewing their contracts to serve plan members – leaving enrollees in the lurch.