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.
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.
H.R. 3467 proposes automatic enrollment into low-premium Medicare Advantage plans with a three-year lock-in, raising concerns about beneficiary choice, network limitations, and coverage variability.
Astrana Health finalizes $708 million acquisition of Prospect Health, expanding its integrated care network and Medicaid, Medicare Advantage, and commercial coverage. The deal enhances provider scale and care delivery capabilities under California's Knox-Keene health plan regulations.
The AHA's Q2 2025 Health Care Plan Accountability Update details key regulatory and legislative changes affecting Medicare Advantage and private health insurer compliance, essential for insurance professionals.
UnitedHealth Group stock falls amid CMS regulatory changes and DOJ probe, presenting high volatility for investors. Insight into earnings impact and market outlook.
Detailed analysis of recent Medicare Advantage enforcement activities focused on broker arrangements, Oak Street settlement, and DOJ False Claims Act litigation impacting healthcare compliance and beneficiary protection.
