Medicare Advantage Open Enrollment starts soon
Annual Medicare Open Enrollment has closed now, so it is time for Medicare Advantage Open Enrollment. What is Medicare Advantage
Read More
Medicare Advantage
Feds want Humana’s Medicare Advantage clawback lawsuit thrown out
(By Rylee Wilson for Becker’s Hospital Review) The Justice Department wants Humana’s lawsuit challenging a CMS rule that would implement
Read MoreHospitals ask CMS to add Medicare Advantage denial rates to star ratings
(By Rylee Wilson for Becker’s Hospital Review) The Federation of American Hospitals is asking CMS to include how often Medicare
Read MoreHumana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges
(By Jakob Emerson for Becker’s Hospital Review) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare
Read MoreMedicare bills pass House committee: 3 things to know
(By Rylee Wilson for Becker’s Hospital Review) The House Energy and Commerce Committee advanced 19 pieces of legislation Dec. 7,
Read MoreIs the Medicare Advantage ‘gold rush’ over?
(By Rylee Wilson for Becker’s Hospital Review) The Medicare Advantage gold rush is slowing down, Wall Street Journal columnist David
Read More10 payers audited for Medicare Advantage overpayments in 2023
(By Rylee Wilson for Becker’s Hospital Review) OIG audits found over $213 million in estimated Medicare Advantage overpayments in 2023.
Read MoreOIG: Centene subsidiary received estimated $5.1M in Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review) SelectCare of Texas, a Centene subsidiary, received an estimated $5.1 million in net
Read MoreCigna, Humana ‘in talks’ to merge
(By Jakob Emerson for Becker’s Hospital Review) The Cigna Group and Humana are “in talks” to merge, The Wall Street
Read MoreUncle Sam Wants You … to Help Stop Insurers’ Bogus Medicare Advantage Sales Tactics
(By Susan Jaffe for KFF Health News) After an unprecedented crackdown on misleading advertising claims by insurers selling private Medicare
Read More