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In Settling Fraud Case, N.Y. Medicare Advantage Insurer, CEO Will Pay Up to $100M
A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that were exaggerated or didn't exist.
New Proposal Would Require Insurance Agents To Disclose More About Medicare Advantage Plans
Medicare regulators want beneficiaries to be told explicitly about some potential risks of signing up for Medicare Advantage plans instead of original Medicare.
Best Medicare Advantage Plans for 2025
Before signing up for one of the best Medicare Advantage plans, compare costs, coverage, customer satisfaction, and more. Expert picks include Cigna, Aetna, and Kaiser Permanente.
Medicare Advantage Fraud Case Settled for Up to $100 Million
A New York health insurer and a former top executive of its subsidiary agreed to pay up to $100 million to resolve a long-running whistleblower lawsuit alleging that the company defrauded Medicare by exaggerating how sick patients on its plans were.
35m
on MSN
Medicare Advantage Marketing Schemes: How Enrollees Are Being Misled
The Office of Inspector General (OIG) has issued a special fraud alert focusing on questionable marketing arrangements ...
8h
Terry Savage: Analyzing Medicare Advantage plans
Medicare Advantage plans now cover slightly more than half of American seniors in the Medicare program. The attraction is in ...
Hosted on MSN
23h
Congress Ditched Fix to Medicare Doc Pay Cut in Skinny Budget Bill
Following a tumultuous week of negotiations, Congress passed a skinny budget deal early Saturday morning, which President ...
3d
on MSN
Medicare's new $2,000 prescription drug cap goes into effect Jan. 1. Here's how it works.
Millions of Medicare enrollees are likely to see relief in 2025 when a $2,000 cap on out-of-pocket prescription drug-spending ...
3d
on MSN
Medicare to Change if Spending Bill Passes: Here's How
The Continuing Appropriations and Disaster Relief Supplemental Appropriations Act would make changes to Medicare for 2025.
JD Supra
17h
Medicare Telehealth Flexibilities Get a Three-Month Lifeline
After much uncertainty, Congress has extended many
Medicare
telehealth flexibilities through March 31, 2025, in its end-of-year appropriations bill. However, several important flexibilities, such as ...
Medscape
1d
Congress Adjourns Without Easing Medicare Doc Pay Cut
Amid a scramble to avoid a partial government shutdown, lawmakers scrapped a plan to ease a near 3% Medicare pay cut for ...
21h
on MSN
Western New York Medicare provider to pay up to $98 million in fraud scheme
A health insurance provider in western New York will have to pay $98 million after it submitted invalid diagnoses to Medicare ...
1d
Best Medicare Supplement (Medigap) Insurance
Investopedia ranks AARP/UnitedHealthcare as the best Medicare Supplement (Medigap) insurance provider. Other winners include ...
1d
on MSN
Medicare Changes For 2025: Premiums, Deductibles, And New Policies
Medicare in 2025 introduces a $2,000 cap on prescription drug costs, expanded mental health services, caregiver support, ...
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