Coding errors led to overpayments to Medicare Advantage plans
Incorrect diagnosis codes from providers led to a $14 million windfall for some Medicare Advantage plans according to a recent
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Month: September 2020
OptumRx’s 3 recently approved drugs to watch
(By Maia Anderson for Becker’s Hospital Review) OptumRx, the pharmacy benefit unit of UnitedHealth Group, recently released a report detailing
Read MorePrivate and employer health insurance paid hospitals 247 percent more than Medicare
A recent RAND Corporation study revealed private payers are paying hospitals 2.5 times more than the Medicare reimbursement rate and
Read MoreSome nursing homes evicting unprofitable patients by claiming they have psych issues
(By Gabrielle Masson for Becker’s Hospital Review) Some nursing homes may send poor residents requiring extra care to emergency rooms
Read MoreIt’s Not Just Insulin: Lawmakers Focus on Price of One Drug, While Others Rise Too
(By Rachana Pradhan for Kaiser Health News) Michael Costanzo, a Colorado farmer diagnosed with multiple sclerosis in 2016, has a
Read MoreVermont’s all-payer model isn’t meeting targets, needs revamp, CMS says
(By Morgan Haefner for Becker’s Hospital Review) CMS sent a warning notice to Vermont last week calling for a reboot
Read MoreThe 2021 Health Savings Account contributions limites
Health savings accounts (HSAs) for many people offer a way to pay medical bills. However, there are a few HSA
Read MoreUnderstanding the various parts of Medicare and how they fit together
In the United States, about one in three people and older are enrolled in Medicare Advantage health plan. Medicare Advantage
Read MoreMedicare enrollment for beginners
Enrolling in Medicare for the first time can be confusing. There are different ways, steps to take and important information
Read MoreAbout 1 In 5 Households In U.S. Cities Miss Needed Medical Care During Pandemic
(By Patti Neighmond for NPR) When 28-year-old Katie Kinsey moved from Washington, D.C., to Los Angeles in early March, she
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