CMS escalates Medicare Advantage audits targeting upcoding and overpayments; research shows benefits of closer heart failure patient monitoring to reduce rehospitalizations; federal probe into nursing home COVID policies; nursing home financial fraud uncovered.
CMS expands Medicare Advantage audits from 2018-2024, intensifying compliance demands and financial scrutiny for major health insurers like UnitedHealth, CVS, and Humana.
Explore how UnitedHealth Group's vertical integration of insurance, PBM, and provider services enhances managed care efficiency and influences U.S. healthcare costs.
Medicare phone scams are rising, with fraudsters posing as representatives to steal personal info. Learn how insurance professionals can help protect beneficiaries.
UnitedHealth Group reports higher medical loss ratio and earnings challenges in Medicare Advantage, signaling a strategic shift amid rising care costs and regulatory scrutiny.
Louisiana proposes raising homestead exemption limits statewide, allowing parishes to reduce property tax burdens amid rising insurance and living costs. The constitutional amendment awaits voter approval, with fiscal impacts under review.
The HHS Office of Inspector General identifies $17 billion in potential cost savings by improving program efficiency and compliance in healthcare programs.
The FBI warns about nationwide scams offering fake low-cost health insurance plans, resulting in millions lost to fraudulent schemes. Learn key prevention tips.
Nashville renter faces sharp auto insurance premium increase caused by automated address verification errors, highlighting risks in current insurance data practices.
FBI issues nationwide warning on discounted medical insurance scams that defraud consumers with fake coverage, causing costly out-of-pocket expenses. Learn how to identify and report these fraudulent schemes.
