A Wisconsin lawsuit alleges United Healthcare downplayed abusive sales tactics to avoid losing government bonuses.
At a hearing Wednesday, federal health officials pointed to billing errors, fraud and overcharges that led Medicare to overpay by staggering sums.
Although proponents say the policies offered by nursing homes are more attuned to patients, some report frustrations when trying to dispute care decisions.
Medicare Advantage plans offer good value and aim to keep patients healthy but sicker people are far more likely to quit because they can’t get the care they need.
Freedom Health and Optimum HealthCare agreed to settle a lawsuit alleging they overbilled Medicare.
The company, which is the nation’s largest Medicare Advantage operator, denies wrongdoing and argues that the Justice Department “fundamentally misunderstands” how Medicare Advantage works.
The powerful chairman of the Senate Judiciary Committee wants the Centers for Medicare and Medicaid Services to explain $125 million in overcharges by insurers.
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
El Departamento de Justicia se ha unido a la demanda de un denunciante de California que acusa al gigante de seguros UnitedHealth Group de fraude en sus populares planes de salud de Medicare Advantage.
The effect of “repeal and replace” could have greatest consequences for hospitals. They accepted lower federal funding under the law because their uncompensated care was expected to fall as more people became insured.
Federal officials have released final regulations for the new program, which will reward physicians for providing high quality, efficient care.
Some insurers have been allowed to move customers on the health law’s marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.
Enrolling in Medicare is confusing and mind-boggling if you don’t act at the right time and avoid costly mistakes.
Traditional Medicare does not cover most dental needs and the private Medicare Advantage plans often have limited coverage, leaving most seniors struggling to pay for dental care out of pocket.
The federal government’s first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.
Research shows exercise-based cardiac rehab programs help heart patients heal faster and live longer. But fewer than a third take part. Time and cost are the main barriers, doctors and patients say.
Concerns raised as health insurers automatically move members of their marketplace or individual plans who are eligible for Medicare.
Commissioner says $37 billion deal would stifle market competition, raise health insurance rates and reduce access to care.
In the past eight months, Medicare officials have quietly granted the special enrollment periods to more than 15,000 Medicare Advantage members in seven states, the District of Columbia and Puerto Rico.
More Medicare Part D drug plans are requiring coinsurance rather than copayments for more types of medications, making beneficiaries’ costs less predictable.