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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.
In Settling Fraud Case, NY Medicare Advantage Insurer, CEO Will Pay up to $100M
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.
Western New York Medicare provider to pay up to $98 million in fraud scheme
A health insurance provider in western New York will have to pay $98 million after it submitted invalid diagnoses to Medicare to increase its payments.
OIG Issues Special Fraud Alert Regarding Marketing Payments Related to Medicare Advantage
OIG issued a Special Fraud Alert to warn the industry about the fraud and abuse risks associated with abusive Medicare
Medicare Advantage fraud case settled for up to $100M
A whistleblower alleged Independent Health inflated payments in Medicare Advantage plans by billing the government for illnesses that patients didn’t have.
2d
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 ...
New York Sun
9d
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 ...
6d
on MSN
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 ...
3d
Best Medicare Advantage Plans for 2025
Before signing up for one of the best Medicare Advantage plans, compare costs, coverage, customer satisfaction, and more.
10d
on MSN
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.
23h
on MSN
CommonSpirit removes services to Medicare Advantage
CommonSpirit Health said the agreement with Humana to provide services in Colorado for Medicare Advantage patients will ...
6d
on MSN
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 ...
1d
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 ...
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