Medicare Advantage plans offered by private insurers result in better outcomes on certain key measures than traditional Medicare plans provided by the government, a new study shows.
Despite concerns that the federal government will reduce payments for Medicare Advantage plans, Humana isn't changing its strategy to expand its private Medicare business.
Medicare Advantage enrollment might increase by as much as 50 percent in the next 10 years, according to the latest budget analysis.
Based on interviews with 39 health insurers, 82 percent of respondents consider developing new payment models a "major priority" for their organizations.
Cigna Healthcare of Arizona, a subsidiary of national insurer Cigna providing Medicare Advantage plans, overbilled Medicare by about $28 million in 2007, according to a new report released last week from the U.S. Department of Health & Human Services Office of Inspector General.
Humana has fired its lobbying firm that has been allegedly tied to a leak about Medicare Advantage payment rates, which lead to soaring shares of Humana, UnitedHealth and Aetna after the news was released.
Humana can pursue a lawsuit against GlaxoSmithKline after the U.S. Supreme Court refused to hear the pharmaceutical giant's appeal of a lower court decision that let the insurer's suit...
Although the U.S. Department of Health & Human Services issued a 3 percent increase in Medicare Advantage payment rates a few weeks ago, UnitedHealth is reassessing its outlook for the program.
Medicare Advantage insurers learned this week that not only is the Centers for Medicare & Medicaid Services not cutting their payment rates, but it's actually increasing them by 3 percent, according to an agency statement.
You have to spend money to save money. On the face of it, that statement is counter-intuitive, but it's why the government has pumped millions into programs such as Meaningful Use, interoperability efforts, health data privacy and security and healthcare quality improvement. However, the sequestration cuts about to go into effect for some healthcare agencies and programs will allow the healthcare industry--and the government agencies that regulate and promote it--to test an alternate theory: To save money, you have to spend less money.