Audits — Hidden Until Now — Reveal Millions In Medicare Advantage Overcharges
Government audits uncovered about $12 million in net overpayments for the care of 18,090 patients sampled, though the actual losses to taxpayers are likely much higher.
Medicare Advantage
Researcher: Medicare Advantage Plans Costing Billions More Than They Should
Switching seniors to Medicare Advantage plans has cost taxpayers tens of billions of dollars more than keeping them in original Medicare.
Judge Orders Preliminary Injunction Against Trillium and Health Net
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Moving swiftly, a federal judge found that health insurers Trillium Community Health Plan and Health Net Health Plan had likely misled consumers about their Medicare Advantage plans for 2020 and ordered the two companies to post clarifying statements on their websites and send clarifying informat
Medicare Advantage Tool To Lower Drug Prices Crimps Choice
New rules allow Medicare Advantage plans to add restrictions on expensive, injectable drugs.
Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases.
Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
The Justice Department has joined a California whistleblower’s lawsuit that accuses insurance giant UnitedHealth Group of fraud in its popular Medicare Advantage health plans.
Uncertain Fate Of Health Law Giving Health Industry Heartburn
Six years into building its business around the Affordable Care Act, the nation’s $3 trillion health care industry may be losing that political playbook.
Industry leaders, like many voters, were stunned by the election of Donald Trump and unprepared for Republicans’ plans to “repeal and replace” Obamacare.
Medicare Plans Score Higher Ratings And Millions In Bonuses
Vantage Health Plan executives saw an opportunity when they realized few of their female Medicare members were being screened for osteoporosis after they broke bones.
Coinsurance Trend Means Seniors Likely To Face Higher Out-Of-Pocket Drug Costs, Report Says
Medicare beneficiaries may get dinged with higher prescription drug bills this year because more than half of covered drugs in standalone plans require them to pay a percentage of the cost rather than a flat fee, a new analysis found.
Cigna Profits As Medicare Softens Penalty Policy
Cigna will get to keep hundreds of millions of dollars in bonus payments for some of its Medicare Advantage plans, despite recently-imposed sanctions for mismanaging those plans in ways that federal off
Statement by Medicare Rights Center President Joe Baker on the Continued Stability of Medicare Advantage and Part D
Correction: The previous version of this statement listed the incorrect amounts for the average Medicare Advantage premium in 2015 and 2016.
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