Daily Briefing — Friday, September 11, 2026
Humana to drop hundreds of thousands of Medicare Advantage plans
Daily Briefing
Today
Humana to drop hundreds of thousands of Medicare Advantage plans
Good morning. Humana is dropping thousands of Medicare Advantage plans nationwide, which could leave hundreds of thousands of older adults needing to find new coverage. This comes as a separate report finds that half of Medicare Advantage plans will face tougher star-rating thresholds in 2027, a change that can affect bonus payments and, in turn, the benefits insurers offer.
Regulators are also warning that Medicare scam calls and emails are surging, urging people to be cautious about anyone asking for personal or payment information over the phone. Separately, two major Medicare and Medicaid fraud cases made news: a man was sentenced for a $64 million Medicaid fraud scheme, and another was accused of submitting $137 million in fake Medicare claims through a shell company.
On the care-quality side, an audit found Minnesota's assisted living inspections are behind schedule, raising questions about how well problems at these facilities are being caught. Meanwhile, thousands of Minnesota nursing home workers are getting raises this week under new minimum wage standards.
Zoom out: Today's stories show a tug-of-war between insurers pulling back Medicare Advantage coverage and pressure on regulators, fraud enforcement, and inspections meant to protect older adults.
What we're following
- Humana dropping hundreds of thousands of Medicare Advantage plans A major insurer is eliminating many Medicare Advantage plans, and affected members will need to review or switch coverage. Read it
- Medicare scam calls and emails surge Reports say scam attempts targeting Medicare beneficiaries are rising, making it important to be wary of unsolicited calls or emails. Read it
- Home health and adult day owner sentenced for $64M Medicaid fraud A major fraud sentencing highlights ongoing efforts to police Medicaid spending tied to home health and adult day services. Read it
- Man admits submitting $137M in bogus Medicare claims A large fake-claims case shows the scale of Medicare fraud schemes still being uncovered and prosecuted. Read it
- Minnesota assisted living inspections behind schedule An audit found the state is falling behind on inspections meant to catch problems at assisted living facilities. Read it
Sources
Related Reading
- Clover Health Sees PPO Edge, Cohort Gains as Medicare Advantage Pricing Tightens · MarketBeat · 59m ago
- CMS eases path for Medicare Advantage takeovers · Modern Healthcare · 4h ago
- Local retirement home celebrates National Assisted Living Week · KPLC 7 News · 14h ago
- National Assisted Living Week · KPLC 7 News · 15h ago
- Federal watchdog accuses Humana, UnitedHealthcare Medicare Advantage plans of upcoding · Healthcare Dive · 22h ago





