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Strong Medicare Advantage Returns Help NY Health Plans, Says Report
Most commercial health plans in New York maintained profits in 2008 despite the onset of the recession because they...
Web Exclusive: Physicians Step Up Protests Against Medicare Cuts
Despite the Senate pushing back a possible 21% physician Medicare reimbursement cut until October 1, physicians...
Medicare Advantage Benefits, Cost-Sharing Requirements Vary Greatly, Says Report
The benefits and cost-sharing requirements of the Medicare Advantage plans that serve 10 million Americans vary widely...
Pilot Projects Can Show Promise, But Often Come up Short
Although the health reform bills showcase the potential of pilot and demonstration projects as cost-cutters for the...
Shifting Costs onto Consumers May Create Long-term Problems
Shifting healthcare costs to the individual will save money in the short-term, but could have long-range cost...
PacificSource Buys Clear One
PacificSource Health Plans announced it is acquiring insurer Clear One in a deal with a total equity value of about $46...
Web Exclusive: OIG: Medicare Paid $112M for Improperly Documented Power Wheelchair Claims
Three out of five claims for power wheelchairs did not meet Medicare documentation requirements in the first six months...
Proposed cuts to Medicare Advantage concern seniors
For years, the federal government has spent billions to entice senior citizens into private Medicare Advantage plans...
Web Exclusive: Medicare Fraud Strike Force Expands Operations
With nearly 500 arrests in four cities, and more than $1 billion in fraudulent claims identified in less than two...
Report Finds Significant Geographic Quality Differences in Medicare Advantage Plans
Though nearly one-quarter of Medicare Advantage enrollees are in health plans with four or more stars, beneficiaries in...

Book: Managed Medicare & Medicaid, Volume IV
This fully updated and completely revised resource presents the very latest data you need to establish the most...