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More than half of older Americans now get their Medicare coverage through an insurance company's Medicare Advantage (MA) plan. But many go on to switch plans or even leave for traditional Medicare when Open Enrollment comes ...
Jun 2, 2025
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Insurance giant UnitedHealth Group is facing a criminal investigation by the US Justice Department for possible Medicare fraud, the Wall Street Journal reported Wednesday.
May 15, 2025
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20
For several years, Fred Neary had been seeing five doctors at the Baylor Scott & White Health system, whose 52 hospitals serve central and northern Texas, including Neary's home in Dallas. But in October, his Humana Medicare ...
Apr 30, 2025
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15
Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with ...
Apr 10, 2025
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The U.S. Senate has confirmed the appointment of Mehmet Oz, M.D., to head the Centers for Medicare & Medicaid Services (CMS), according to a report from The New York Times.
Apr 9, 2025
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An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated how much coding differs between insurers and how much extra revenue insurers receive as a result.
Apr 7, 2025
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Since the mid-2000s, the Medicare system has dramatically transformed. Enrollment in Medicare Advantage—the private alternative to the traditional Medicare program administered by the government—has more than quadrupled. ...
Apr 3, 2025
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15
A community-led partnership in Colorado designed to negotiate health care prices lowered health care premiums in 2020 and 2021, we find in our new paper in the Journal of Risk and Insurance. The nonprofit organization is ...
Apr 3, 2025
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The current radiologist shortage is projected to persist, and projected imaging utilization is projected to continue increasing through 2055, according to two studies published in the February issue of the Journal of the ...
Feb 27, 2025
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As the privatized form of Medicare, Medicare Advantage plans advertise dental, vision, and hearing benefits not covered by traditional Medicare, but a recent analysis found that Medicare Advantage beneficiaries do not typically ...
Jan 14, 2025
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