The feds’ civil suit links exaggerated patient bills to “tens of millions” in overcharges.
Category: Medicare Advantage
KHN’s ‘What the Health?’: Booster Time
As the delta variant continues to spread around the U.S., the Biden administration is taking steps to authorize covid vaccine boosters, require nursing home workers to be vaccinated and protect school officials who want to require masks despite state laws banning those mandates. Meanwhile, the U.S. House is returning from its summer break early to start work on its giant budget bill, which includes a long list of health policy changes. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Kimberly Leonard of Business Insider join KHN’s Julie Rovner to discuss these issues and more.
Why Doesn’t Medicare Cover Services So Many Seniors Need?
When the program began half a century ago, backers believed the benefits would expand over time, but politics and concerns about money have stymied most efforts. Now congressional Democrats are looking to add vision, dental and hearing care.
Analysis Suggests Health Insurers Remained Profitable Across Markets Amid Pandemic in 2020
A new analysis of health insurers’ financial data suggests that they remained profitable across markets in 2020 due in part to an unprecedented decrease in health spending and utilization in the spring as the COVID-19 pandemic led to massive shutdowns….
Health Insurer Financial Performance in 2020
This analysis examines insurers’ financial data across markets through the end of 2020. It finds that average margins remained relatively high compared to recent years, suggesting many insurers remained profitable even as health spending rebounded and …
Time to Say Goodbye to Some Insurers’ Waivers for Covid Treatment Fees
Insurers voluntarily set the charges aside earlier in the pandemic — but that means those same health plans can decide to reinstate them.
Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
Medicare Advantage company may face record penalty over alleged billing errors.
Health Insurer Financial Performance Through September 2020
In this brief, we analyze third quarter data from 2018 to 2020 to examine how insurance markets performed financially through the end of September. Average margins remained relatively high compared to the same point in recent years, suggesting many ins…
Pandemic Delays Federal Probe Into Medicare Advantage Health Plans
Government officials want to focus on fighting COVID-19 instead of recouping overcharges that run into the millions.
How Much Could Medicare Beneficiaries Pay For a Hospital Stay Related to COVID-19?
As the coronavirus continues to spread, the number of people on Medicare admitted to the hospital for COVID-19 related illness is expected to rise. We analyze how much Medicare beneficiaries could pay out-of-pocket for an inpatient hospital admission u…
