Topic: Medicare Advantage
A newly unsealed whistleblower lawsuit accuses the California health system of submitting unsupported diagnosis codes to boost reimbursement.
A controversial business decision by UnitedHealthcare, the nation’s largest health insurance carrier, is causing disruption to the optional program.
The CHRONIC Care Act offers plenty of room for innovation, but it’s crucial to do so in a way that’s easy for patients to follow, experts say.
Almost half of online Medicare Advantage directories contained incorrect or out-of-date information, CMS found in a recent investigation.
Medicare marketing isn't what it used to be—literally. The definition of "marketing" is one of many changes in CMS' latest Medicare marketing rules.
With $200 million in fresh funding, Bright Health says it has big plans for 2020.
Humana expects as many as 800,000 members to drop off its standalone Medicare Part D plans next year, a 16% decline from 2018 membership.
CMS officials announced on Monday that the agency is considering a policy that would require pharmacy rebates to be passed on to seniors.
One analyst says the mutually beneficial partnership would allow the insurer to keep pace with surrounding vertically integrated giants.
Medicare Advantage enrollment is expected to increase from 34% of the Medicare population in 2018 to 42% in 2028.