Category Archive: Medicare Advantage

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Fraud And Billing Mistakes Cost Medicare — And Taxpayers — Tens Of Billions Last Year

At a hearing Wednesday, federal health officials pointed to billing errors, fraud and overcharges that led Medicare to overpay by staggering sums.

Nursing Homes Move Into The Insurance Business

Although proponents say the policies offered by nursing homes are more attuned to patients, some report frustrations when trying to dispute care decisions.

Two Medicare Advantage Insurers Settle Whistleblower Lawsuit For $32 Million

Freedom Health and Optimum HealthCare agreed to settle a lawsuit alleging they overbilled Medicare.

UnitedHealth Doctored Medicare Records, Overbilled U.S. By $1 Billion, Feds Claim

The company, which is the nation’s largest Medicare Advantage operator, denies wrongdoing and argues that the Justice Department “fundamentally misunderstands” how the Medicare Advantage works.

Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth

The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.

Uncertain Fate Of Health Law Giving Health Industry Heartburn

The effect of “repeal and replace” could have greatest consequences for hospitals. They accepted lower federal funding under the law because their uncompensated care was expected to fall as more people became insured.

A Consumer’s Guide To Medicare’s New Rules On Doctor Pay

Federal officials have released final regulations for the new program, which will reward physicians for providing high quality, efficient care.

Medicare Bars New ‘Seamless Conversion’ Efforts For Some Seniors

Some insurers have been allowed to move customers on the health law’s marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but some seniors said it happened without them knowing.

How To Enroll In Medicare And Avoid Costly Mistakes

Enrolling in Medicare is confusing and mind-boggling if you don’t act at the right time and avoid costly mistakes.

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