Federal officials are targeting a trillion in Medicare Advantage overpayments impacting future premiums and benefits.
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...
Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...
The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...
In the largest Medicare Advantage fraud settlement to date, Oakland, Calif.-based Kaiser Permanente agreed to pay $556 million to resolve allegations it violated the False Claims Act by submitting ...
Providence CEO calls Medicare Advantage reset as hospitals exit networks over reimbursement and authorization issues, urging federal intervention.
Wall Street is discovering that the Republican party’s longstanding romance with Medicare Advantage has entered a more ...
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