UnitedHealth Group emphasizes strict regulatory compliance and audit accuracy in Medicare Advantage operations following scrutiny by The Wall Street Journal. CMS audits confirm coding integrity and adherence to federal guidelines.
Applied Policy names Brittany La Couture as VP of Health Policy, leveraging her Medicare Advantage and CMS expertise to enhance pharmaceutical reimbursement strategies.
Explore critical Medicare enrollment deadlines, coverage coordination with FEHB, and plan options for federal retirees to optimize benefits and manage costs.
Villages Health System files Chapter 11 bankruptcy following a $350 million Medicare overbilling investigation amid increased Medicare Advantage audits and tighter regulatory scrutiny.
Explore the implications of enrolling in Medicare Advantage plans and later switching to original Medicare with Medigap, focusing on medical underwriting and enrollment restrictions that impact U.S. beneficiaries.
Alignment Healthcare successfully raises its Arizona HMO star rating from 3.5 to 4 stars after a federal court ruling, impacting Medicare Advantage member care and CMS bonus payments.
Explore the impact of recent U.S. legislation on Medicare, Medicaid, ACA subsidies, and retirement health benefits. Understand key changes affecting coverage, eligibility, and premiums for 2024.
Federal court ruling increases Alignment Healthcare's Arizona Medicare Advantage HMO star rating from 3.5 to 4 stars, enhancing plan quality recognition and CMS bonus eligibility.
Federal court ruling raises Alignment Healthcare's Arizona Medicare Advantage star rating to 4 stars, impacting quality ratings and bonus payments in 2025.
The Trump administration proceeds with the third cycle of Medicare drug price negotiations, addressing Part B drug inclusion and sparking pharmaceutical industry concerns about pricing and implementation.
