News

US Will Expand Its Audits of Medicare Advantage Health Plans
The Trump administration plans to expand government audits of private Medicare health plans, adding more scrutiny to an ...
Modern Healthcare13h
CMS to crack down on Medicare Advantage overpayment
The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...
UnitedHealth, Humana, CVS drop on expanded Medicare Advantage audits
Shares of major health insurers UnitedHealth (NYSE:UNH), Humana (NYSE:HUM), and CVS (NYSE:CVS) fell sharply today, with ...
STAT13h
Trump, building on Biden policy, to speed up audits of Medicare Advantage insurers
CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.
Medicare Advantage plans may cover things like pet food, golf fees and ski passes
Beneficiaries of certain Medicare Advantage plans may be able to access supplemental benefits like greens fees and ski passes ...
Do Medicare, Medicaid cover weight loss drugs? It depends
Medicare recipients suffering from obesity must pay out of pocket for weight loss drugs like Wecovy and Zepbound.
News - University of California, Riverside2d
Experts warn of deep harm from proposed Medicaid cuts
Experts at the University of California, Riverside, weigh in on what impact these cuts could have. Bruce Link is a ...
The American Journal of Managed Care18h
High Costs, Narrow Networks Undermine Access for Younger Medicare, Dual-Eligible Beneficiaries: Emma Achola-Kothari, PhD
Kothari, PhD, explains that younger Medicare beneficiaries without supplemental coverage face high costs, while dual-eligible ...
Which states have the most Medicaid recipients? These states rely more on the program
As federal lawmakers weigh billions in budget cuts tied to tax and immigration reform, the future of Medicaid and the Children's Health Insurance Program (CHIP) is again in the spo ...