Growing Criticism of Medicare Advantage Administration
The article discusses the challenges faced by Medicare Advantage, including rising claims denials and contract disputes between health systems and insurers.
Study Reveals Medicare Advantage Falls Short for Seniors
A study reveals that Medicare Advantage may not provide better benefits or lower costs for seniors compared to traditional Medicare, highlighting critical issues in awareness and usage of supplemental services.
DOJ Reports $2.9 Billion in FCA Recoveries for FY 2024
The DOJ announced record recoveries under the False Claims Act for FY 2024, totaling over $2.9 billion, driven by significant qui tam filings.
Addressing the U.S. Physician Shortage Crisis
Discover the growing physician shortage crisis in the U.S. and proposed solutions for healthcare reform.
Rising Claim Denial Rates Challenge Healthcare Providers
Explore the rising claim denial rates in healthcare, their impact on providers and patients, and how automation may improve claims management in this evolving landscape.
Centene Appoints Alan Silver as President of Ambetter Health Solutions
Centene has appointed Alan Silver as the president of Ambetter Health Solutions to enhance growth in ICHRA plans, aiming to capture a larger market in health insurance.
Medicare Cuts Raise Concerns for Physician Practices
The 2025 Medicare Physician Fee Schedule cuts reimbursement rates, impacting healthcare providers' finances and patient access to care.
ACC Announces New Medicare Reimbursement Policies for CCTA Exams
The ACC has updated Medicare reimbursement policies for CCTA exams, doubling rates for hospitals.
UnitedHealth Group Anticipates Record Performance Despite Turmoil
UnitedHealth Group is poised for record growth this year, despite challenges following the CEO's murder. Legal issues within the insurance sector are also highlighted.
U.S. Healthcare Spending Hits $4.9 Trillion in 2023
In 2023, U.S. healthcare spending rose to $4.9 trillion, driven by ACA enrollment and increased medical services usage. This report highlights the significant growth in healthcare expenses and insurance enrollment.