Medicare Advantage – Page 39 – medicarereport.org

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10 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

Eileen Cook December 5, 2023December 5, 2023 CMS, DHS -Office of Inspector General, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Audits, Medicare Advantage Overpayments

DHS -OIG Medicare Advantage

OIG: 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

Eileen Cook December 4, 2023December 4, 2023 CMS, DHS -Office of Inspector General, Medicare Advantage, Medicare Advantage Overpayments

Health Care Finance Health Insurance Medicare Advantage

Cigna, 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

Eileen Cook November 30, 2023November 30, 2023 Cigna Group, Health Insurance, Health Insurance companies, Humana, Medicare Advantage, Merger

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs

Uncle 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

Eileen Cook November 30, 2023November 30, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Ads, Medicare Part D, Older Adults

CMS Emerging Health Issues Health Care Finance Health Insurance Medicare - General Medicare Advantage

Hospitals worry the plans are going to skirt federal regulations in reviewing hospital admissions

The American Hospital Association and the Federation of American Hospitals have voiced their concerns to the Centers for Medicare and

Eileen Cook November 29, 2023November 29, 2023 Healthcare Costs, Hospital Inpatient Stay, medicare, Medicare Advantage, Medicare Advantage claims denials

Emerging Health Issues Health Care - General Health Insurance Medicare Advantage Prior Authorization

Bipartisan anger over Medicare Advantage denials on the rise

(By Rylee Wilson for Becker’s Hospital Review ) Concerns about Medicare Advantage denials are on the rise in Washington, Politico

Eileen Cook November 28, 2023November 28, 2023 Bipartisan Support, CMS, Medicare Advantage, Medicare Advantage claims denials, Medicare Advantage Prior Authorization

CMS Medicare - General Medicare Advantage Medigap Part D/Prescription Drugs

Medicare Advantage plans are not for everyone

There are many advantages to selecting a Medicare Advantage plan over traditional Medicare. Medicare Advantage plans have a limit on

Eileen Cook November 27, 2023November 27, 2023 CMS, Healthcare Costs, medicare, Medicare Advantage, Medicare Part D, Older Adults

CMS Health Care Finance HHS Medicare - General Medicare Advantage

Medicare solvency would be extended 17 years under Medicare Advantage utilization rates: Study

(By Jakob Emerson for Becker’s Hospital Review ) The Hospital Insurance Trust Fund would be solvent until 2048 if traditional

Eileen Cook November 22, 2023November 22, 2023 Healthcare Finance, Hospital Insurance Trust Fund, medicare, Medicare Advantage, Medicare Insolvency, Medicare Utilization

CMS Health Care Finance Medicare Advantage

CMS: Medicare Advantage received $16.6B in improper payments in 2023

(By Rylee Wilson for Becker’s Hospital Review ) CMS paid Medicare Advantage organizations an estimated $16.6 billion in overpayments in

Eileen Cook November 21, 2023November 21, 2023 CMS, Healthcare Costs, Improper Payments, Medicare Advantage

Health Care - General Medicare - General Medicare Advantage

Why Medicare Advantage networks may reduce avoidable hospitalizations

(By Rylee Wilson for Becker’s Hospital Review ) Differences in the clinicians Medicare Advantage and traditional Medicare beneficiaries see have

Eileen Cook November 17, 2023November 17, 2023 Avoidable Hospitalization, medicare, Medicare Advantage, Older Adults