Medicare Advantage insurer and CEO to pay up to $100 million to settle fraud case
A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that were exaggerated or didn’t exist.
New Proposal Would Require Insurance Agents To Disclose More About Medicare Advantage Plans
Medicare regulators want beneficiaries to be told explicitly about some potential risks of signing up for Medicare Advantage plans instead of original Medicare.
Medicare Advantage Fraud Case Settled for Up to $100 Million
A New York health insurer and a former top executive of its subsidiary agreed to pay up to $100 million to resolve a long-running whistleblower lawsuit alleging that the company defrauded Medicare by exaggerating how sick patients on its plans were.
Best Medicare Advantage Plans for 2025
Before signing up for one of the best Medicare Advantage plans, compare costs, coverage, customer satisfaction, and more. Expert picks include Cigna, Aetna, and Kaiser Permanente.
The pros and cons of Medicare Advantage plans
Major insurers selling Medicare Part C plans include Aetna, Blue Cross Blue Shield, Cigna, Humana, Kaiser Permanente and UnitedHealthcare. Here’s a rundown of the pros and cons
Medicare Advantage Plans Have Two Caps
It’s good to know that a Medicare Advantage plan has two caps that limit costs, especially since those who elected this coverage face another chance to change plans
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Trump Needs To Fix Medicare Advantage or the Medicare System Could Come Crashing Down, Analysts Warn
Medicare Advantage, the privately run version of the government’s Medicare program for persons aged 65 and older, is in ...
The Truth About Medicare Advantage Claim Denials and How You Can Appeal
The rate of Medicare Advantage denials for services, medication, and inpatient care is soaring. But you have a good chance of ...
Patients Who Exit Medicare Advantage for Traditional Government Coverage Are Costlier Than Most: Research
Study also suggests some older Americans may struggle to access care through Medicare Advantage private for-profit insurers.
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Joel Mekler | Medicare Moments: Medicare coverage of second opinions: When, where and how?
Your physician enters the room with the results of your recent tests. He is not known to have the best bedside manners, so he ...
Humana will remove CommonSpirit services for Medicare Advantage patients next year
CommonSpirit says Humana will drop its hospitals, doctors, and non-emergency services for Medicare Advantage patients in ...
Medicare Advantage Open Enrollment Period: Expert Insight
The Medicare Advantage Open Enrollment Period runs from Jan. 1 to March 31. Learn how to navigate it like a pro.
Readers Write: Biden’s legacy, immigration, Strib coverage, Medicare Advantage, semantics
Fortunately, much of Biden’s climate legacy is Trump-proof — but more action is needed. Opinion editor’s note: Strib Voices ...
Hampton Roads’ TPMG reaches agreement with Humana to accept Medicare Advantage plans in 2025
Tidewater Physicians Multispecialty Group reached a resolution with Humana to accept the insurer’s Medicare Advantage plans ...