Medicare Advantage
publication date
Payer
OIG: Medicare Advantage Overpaid Anthem $3.5MAnthem disputed the findings and rejected the recommendations in its rebuttal of the report.
Telehealth
Business Leaders, Healthcare Stakeholders Urge Congress to Support Audio-only TelehealthU.S. Chamber of Commerce, Harvard Pilgrim, Ascension, and others back audio-only Medicare Advantage bill.
Strategy
Humana Health Plan Overcharged Medicare by Nearly $200M, Federal Audit FindsThe OIG's recommendation to repay, if finalized, would be "by far the largest" audit penalty ever imposed on a Medicare...
Strategy
Study Finds Ongoing Confusion Among Medicare BeneficiariesGoHealth CMO, Paul Hain, MD, shares misconceptions Medicare beneficiaries have about Original Medicare and Medicare Advantage.
Innovation
Virtual Care Key to Humana-Mercy Value-Based ContractMedicare Advantage contract between Humana and Mercy expands to offer patients access to Mercy Virtual services. The arrangement is part...
Strategy
Medicare Advantage Plan Selections Increased 16%An eHealth analysis found a 16% increase of Medicare customers choosing Medicare Advantage plans during the 2021 annual enrollment period...
Finance
U.S. Healthcare Spending Grew 4.6% in 2019, Hit $3.8TThe rate of growth in 2019 was down slightly from the 4.7% rate in 2018 and consistent with the average...
Technology
Virtual Care Visits up 136 Times Among Anthem Medicare Advantage MembersVisits in quarter ended May 2020 jump from 4.4K to 600K versus quarter in previous year.
Strategy
Kaiser Foundation MA Plan to Pay $6.3M to Settle False Claims Allegations.The alleged violations occurred in 2011 and 2012, before Group Health Cooperative was acquired by Kaiser Permanente.
Covid-19
CMS Readies Framework, Funding for Eventual COVID-19 VaccineOriginal Medicare and Medicare Advantage beneficiaries will get the vaccine at no cost.
Clinical Care
CMS Announces 'Historically Low' Medicare Advantage Premiums, New Insulin Payment ModelMore than 1,600 Medicare Advantage and Part D prescription plans will cap insulin monthly copays at no more than $35....
Finance
CMS' Proposal to Update MS-DRGs Based on Market PricesA key objective is to enable updates to the MS-DRG payment rates that are no longer dependent on gross charges...