Study Reveals Huge Revenue Discrepancies in Medicare Plans
A study finds Medicare Advantage plans receive $33 billion more than Traditional Medicare, raising concerns about coding practices and insurer profits.
Medicare Advantage Plans Earn $33 Billion More in 2021
An analysis shows Medicare Advantage plans earned $33 billion more than Traditional Medicare in 2021 through coding differences. UnitedHealth Group received the largest share.
UnitedHealth Dominates Medicare Advantage Payments: Study
Explore how UnitedHealth Group leads in Medicare Advantage payments through diagnosing more health conditions, raising concerns in the health insurance sector.
Blue Cross Minnesota Reports Sharp Drop in Operating Profit
Blue Cross and Blue Shield of Minnesota's parent company, Aware Integrated, experiences a substantial drop in operating profit due to high healthcare utilization and losses in Medicare and Medicaid plans.
Blue Cross Minnesota: 73% Drop in Operating Income in 2024
Blue Cross of Minnesota saw a significant decline in operating income for 2024, attributed to high healthcare usage and losses in Medicaid and Medicare plans.
Medicare Insurer Payments to Increase, Boosting Health Stocks
Health stocks surged after Medicare payments were increased by CMS, impacting Humana, CVS, Elevance, and UnitedHealth.
Impact of the Inflation Reduction Act on Prescription Costs
Explore the influence of the Inflation Reduction Act on Medicare's prescription cost caps, reducing financial toxicity for patients.
Senate Confirms Oz to Lead Medicare and Medicaid Amid Fiery Budget Debate
The Senate votes to confirm Mehmet Oz for Medicare and Medicaid, amidst concerns over potential budget cuts and their impact on healthcare access.
Hospitals Prepare for Medicare Appeals Changes Effective 2025
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 Illinois Updates Prior Authorization Protocols
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.