An analysis shows Medicare Advantage plans earned $33 billion more than Traditional Medicare in 2021 through coding differences. UnitedHealth Group received the largest share.

Explore how UnitedHealth Group leads in Medicare Advantage payments through diagnosing more health conditions, raising concerns in the health insurance sector.

Exploring the role of Advanced Practice Providers in alleviating physician shortages and the implications of AI in healthcare.

Explore the influence of the Inflation Reduction Act on Medicare's prescription cost caps, reducing financial toxicity for patients.

The Senate votes to confirm Mehmet Oz for Medicare and Medicaid, amidst concerns over potential budget cuts and their impact on healthcare access.

The DOJ is pressing forward with a lawsuit against UnitedHealth Group, challenging a special master’s report that found insufficient evidence against the health giant concerning Medicare Advantage payments.

Learn about new Medicare regulations affecting hospital status appeals, set to take effect in early 2025, and the implications for hospital finance management.

Blue Cross and Blue Shield of Illinois has updated its prior authorization requirements for Medicare Advantage and other plans. Learn about these changes and their implications.

Corey Alston pleads guilty to a Medicare fraud scheme involving over $8M in false claims for COVID-19 test kits, facing sentencing soon.

Explore the urgent need for reforms in Medicare to combat fraud, which costs taxpayers billions yearly.