Explore the diverse health insurance options available to U.S. seniors in 2025 beyond traditional Medicare and Medicaid. Learn about Medicare Advantage, Medigap, VA benefits, TRICARE, PACE, and private plans.
UnitedHealth Group is under DOJ investigation for Medicare Advantage billing practices. The company cooperates with probes on risk adjustment and compliance in health insurance.
The DOJ is investigating UnitedHealth Group's Medicare billing practices, focusing on diagnostic coding and in-home evaluations that may have led to inflated government payments. This probe highlights compliance and regulatory risks in Medicare Advantage programs.
Congressman Vicente Gonzalez criticizes recent Medicare funding cuts in a newly passed bill, highlighting potential impacts on seniors and the insurance industry.
HCA Healthcare's Q2 2024 earnings demonstrate strategic growth fueled by digital transformation, aging demographics, and expansion into non-acute care. Strong financial metrics and operational discipline highlight market leadership.
U.S. health insurers face financial pressures from rising Medicare Advantage costs, increased healthcare utilization, and regulatory debates over physician payments and drug pricing, impacting premiums and provider networks.
AultCare will stop offering individual and small group ACA plans after 2025 due to uncertainty over premium tax credits, continuing Medicare Advantage and group coverage.
CMS introduces WISeR model using AI to expedite Medicare prior authorizations while insurers enhance processes to cut waste and improve care approval speeds.
CMS's 2026 proposed rules for Medicare Part B include major updates to average sales price calculations, Inflation Reduction Act compliance, ASP documentation, and Medicare inflation rebates affecting government pricing.
Eye Consultants of Pennsylvania agrees to $790,000 settlement over False Claims Act violations involving Medicare E&M billing irregularities. Federal enforcement underscores commitment to Medicare compliance.
