INSURASALES

Congressional Doctors Advocate Medicare, PBM Reforms to Curb Fraud and Costs

House GOP doctors outline reforms targeting Medicare fraud, PBM-driven drug costs, and graduate medical education funding to address Medicare insolvency and healthcare cost inflation.

Iowa Medicaid and Medicare Savings Programs Aid Low-Income Beneficiaries

Explore how Iowa's Medicaid and Medicare Savings Programs provide critical financial assistance for low-income Medicare beneficiaries, covering premiums, deductibles, and prescription drug costs.

UnitedHealth Group Faces DOJ Probes Over Medicare Billing and Coding Practices

UnitedHealth Group confirms DOJ investigations into Medicare billing and diagnosis code practices, impacting regulatory compliance and Medicare program integrity.

UnitedHealth Cooperates with Federal Investigations of Medicare Advantage Practices

UnitedHealth Group is cooperating with federal investigations into its Medicare Advantage billing practices amid scrutiny over diagnosis-based payments. The insurer faces civil and criminal probes amid increased healthcare utilization and financial pressure.

UnitedHealth Faces Federal Investigations Over Medicare Advantage Billing Practices

UnitedHealth Group is under federal criminal and civil investigation for Medicare Advantage billing practices amid financial pressures and leadership changes. The company cooperates fully and maintains confidence in compliance.

CMS Proposes 2026 Medicare Payment Updates Expanding Digital Health and Telehealth Flexibility

CMS proposed 2026 Medicare payment rules expand digital health reimbursements, telehealth supervision flexibility, and update the Medicare Telehealth Services List.

Overview of Special Needs Plans (SNPs) in Medicare Advantage

Learn about Special Needs Plans (SNPs), Medicare Advantage plans tailored for individuals with chronic conditions or dual Medicaid eligibility, covering special benefits and care coordination.

UnitedHealth Group Under DOJ Investigation for Medicare Advantage Practices

UnitedHealth Group faces DOJ investigation over Medicare Advantage billing practices, impacting insurer compliance and reimbursement within Medicare programs.

DOJ Investigates UnitedHealth Group Over Medicare Advantage Practices

UnitedHealth Group faces DOJ investigation over Medicare Advantage practices, with the insurer cooperating amid leadership changes and cost pressures. The inquiry centers on coding and managed care compliance.

Physician Exit Rates from Medicare Fee-For-Service Rise, Impacting Primary Care Access

Study reveals rising physician exit rates from Medicare fee-for-service, with primary care facing notable impact amid payment and administrative challenges.