Tag: Medicare

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.

Florida Man Pleads Guilty to $8M Medicare Fraud Scheme

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

Investigative Report: $50 Billion in Questionable Medicare Payments

A detailed investigation uncovers $50 billion in Medicare payments for unverified diagnoses made by insurers, raising concerns about Medicare Advantage practices.

CMS Administrator Warns of Devastating Cuts to Nursing Home Oversight

Chiquita Brooks-LaSure highlights critical issues from cuts in HHS that threaten nursing home oversight, impacting care quality and enforcement.