UnitedHealthcare, one of the largest players in the Medicare Advantage market, has filed a lawsuit against the Centers for Medicare and Medicaid Services (CMS) following a downgrade in its star ratings.
Category: Medicare and Medicaid, Legislation, Public Policy
OIG: New York paid $23.3 million in Medicaid payments to deceased beneficiaries
An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.
Average premiums for Medicare Advantage, Medicare Part D to decrease, CMS says
The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 – about 51% of all Medicare beneficiaries.
OIG: Remote patient monitoring in Medicare increasing
OIG identified systemic issues that impair Medicaid’s ability to root out fraudulent activities and offered several recommendations.
Medicaid enrollment higher than before the pandemic, KFF finds
More than 25 million people were disenrolled from Medicaid during the unwinding process, and over 56 million had their coverage renewed.
Humana to pay $90 million to settle allegedly fraudulent Part D bids
Insurer Humana has said it will pay $90 million to resolve a False Claims Act case alleging that the company submitted fraudulent bids to the Centers for Medicare and Medicaid Services to secure Part D prescription drug contracts between 2011 and 2017….
Administration reaches negotiation agreement on 10 drugs
In a bid to lower prescription drug prices, the Biden administration this week reached an agreement for new, lower prices for the 10 drugs selected for negotiations. These drugs, the White House said, are some of the most expensive and most frequently …
Administration reaches negotiation agreement on 10 drugs
In a bid to lower prescription drug prices, the Biden administration this week reached an agreement for new, lower prices for the 10 drugs selected for negotiations. These drugs, the White House said, are some of the most expensive and most frequently …
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