How Health Insurers Racked Up Billions in Extra Payments From Medicare Advantage
The Wall Street Journal’s yearlong investigation into Medicare’s private insurers relied on exclusive access to billions of records of Medicare services.
Senior living: In settling fraud case, Medicare Advantage insurer, CEO will pay up to $100M
Independent Health Association of Buffalo, which operates two Medicare Advantage plans, will pay up to $98 million. Betsy Gaffney, CEO of medical records review company DxID, will pay $2 million, according to the settlement agreement. Neither admitted wrongdoing.
Potential fraud could have earned insurance companies billions off of Medicare Advantage
NPR's Eric Deggans talks to Wall Street Journal reporter Christopher Weaver about the newspaper's yearlong investigation into potential fraud in the Medicare Advantage program.
WSJ Goes After Insurers' Medicare Advantage Strategy
Critics of Medicare Advantage plans contend that some insurers manipulate a Medicare Advantage program mechanism that provides higher payments for higher-risk enrollees by making aggressive, sometimes dishonest efforts to indicate that ordinary enrollees are seriously ill.
Medicare Advantage Is Scamming You
And Trump wants to double down on it. Congress created Medicare Advantage in 1997 to demonstrate for good and all, damn it, that the market economy could be more cost-effective at delivering ...
Problems with Medicare Advantage Plans Keep Mounting
People tend to like their Medicare Advantage plans — until they don’t. Consider the case of Rose LaChapelle, who says the Medicare Advantage plan that was supposed to provide care for her 92-year-old mother has failed her now that she needs it most.
Aetna Medicare Advantage plans no longer accepted by thousands of North Texas providers
Ann and Timothy Hague are heading into 2025 with a decision to make: Should they drop their insurer, or their doctors? The ...
Unhappy with your Medicare Advantage? You have one more chance to change your mind.
It’s open enrollment for Medicare Advantage. You can switch or drop your plan — but make sure you check your Medigap coverage ...
TridentCare and Essence Healthcare Partner to Expand Portable Diagnostic Services to Medicare Advantage Beneficiaries
New partnership will deliver convenient, at-home X-ray and ultrasound services to over 60,000 Medicare Advantage members in Illinois, Missouri, Ohio, Kentucky and Indiana ...
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Anthem Medicare Advantage patients still without OSU coverage. How they can stay in network
The Ohio State University Wexner Medical Center and Anthem Insurance reached an agreement on Dec. 30, guaranteeing that a ...
Medicare Advantage Home Visits Face Increased Scrutiny With Jae Oh
Medicare Advantage carriers use in-home visits for risk coding, and stricter oversight could change funding practices.
UnitedHealth’s secret to billions in extra medicare funds: How doctors inflate sickness scores, reveals report
UnitedHealth Group, a major player in the US healthcare industry, has come under scrutiny for its practices surrounding ...
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Everything you need to know about signing up for Medicare
People enrolled in Medicare Advantage can change their plan between Jan. 1 and March 31. Jan. 1 marks the beginning of the ...
Medicare Advantage 2025: Key Changes and Benefits
Explore crucial updates to Medicare Advantage plans, including expanded dental coverage and prescription drug considerations ...