Hospice fraud explodes in Los Angeles with providers allegedly scamming $3.5 billion from Medicare through ghost patients and ...
Shares of large Medicare plan providers Humana, CVS Health and UnitedHealth Group plunged in extended trading.
Medicare Advantage (MA) plans and the providers in their networks are crying foul over potentially getting virtually no ...
Provider groups are calling on CMS to adopt new rules that hold MA plans more accountable for “egregious” denials while also helping to ensure the future success of the only such plans nursing homes ...
If these numbers worry you, it’s important to know what those expenses are so you can take steps to get ready and have the funds to pay when the time comes.
Although hospital-owned plans are only a sliver of the Medicare Advantage market, their enrollment continues growing.
The Centers for Medicare & Medicaid Services (CMS) has notified Medicare Advantage organizations of a new system for managing and tracking provider complaints.
As of 2025, 54% of all Medicare beneficiaries were enrolled in Medicare Advantage (MA). The average Medicare beneficiary had a choice of over ...
Medicare is a wonderful plan, helping seniors shoulder health care costs at a time of life when things start wearing out and ...
The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...
With appreciation for feedback from Mark Fendrick, Director of the Value-Based Insurance Design (V-BID) Center at the ...
Although hospital-owned plans are only a sliver of the Medicare Advantage market, their enrollment continues to grow, ...
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