Medicare Advantage Debate Echoes in NYC Retiree Advocacy
Examining the ongoing Medicare Advantage debate among NYC public service retirees and union influences, highlighting implications for health insurance policy and benefits.
North Mississippi Health Services Ends Medicare Advantage Contract with United Healthcare
North Mississippi Health Services terminates United Healthcare Medicare Advantage contract due to claim denials, impacting 17,000 members and signaling challenges in payer-provider interactions in Mississippi.
Humana Supports Medicare Advantage Billing Reforms Targeting Nurse Practitioner Home Visits
Humana backs legislative efforts to reform Medicare Advantage billing practices, focusing on diagnoses from nurse practitioner home visits to improve Medicare payment accuracy and reduce overpayments.
CMS Increases Medicare Advantage Audits to Combat Fraud and Waste
CMS Director Mehmet Oz launches intensified audits of Medicare Advantage plans targeting fraud, waste, and upcoding as enrollment grows. Stronger oversight aims to sustain Medicare's financial health.
Walmart Enhances Medicare Advantage Supplemental Benefits with AI-Driven Platform
Walmart introduces a first-of-its-kind AI-powered platform helping Medicare Advantage members maximize supplemental benefits on health and wellness products, streamlining benefit tracking and healthier shopping.
UnitedHealth Adjusts Leadership and Strategy Amid Medicare Reimbursement Changes
UnitedHealth Group's leadership transition and strategic review respond to Medicare Advantage reimbursement changes and regulatory scrutiny, affecting stock performance and future growth plans.
UnitedHealth CEO Andrew Witty Retires Amid Financial Challenges
UnitedHealth Group's former CEO Andrew Witty retires following financial setbacks and leadership transition. CEO Stephen Hemsley initiates independent reviews of risk adjustment and managed care practices.
AI and Legislative Actions Aim to Address Medicare Advantage Coding Disputes
Explore how AI innovations and the No UPCODE Act seek to resolve Medicare Advantage coding controversies, improving risk adjustment and compliance.
UnitedHealth CEO Addresses Earnings Miss Amid Rising Medicare Advantage Costs
UnitedHealth Group's CEO responds to Q1 earnings miss driven by Medicare Advantage medical cost surges and DOJ scrutiny, outlining reforms to manage rising care expenses and rebuild investor confidence.
CMS Expands Medicare Advantage Audits to Address $43B Overpayments
CMS is intensifying Medicare Advantage audits to recover $43 billion in overpayments, impacting provider contracts and regulatory compliance across the MA ecosystem.