Portland, Maine-based Martin's Point Health Care has agreed to pay $22.5 million to resolve allegations that it knowingly submitted inaccurate diagnosis codes for Medicare Advantage Plan enrollees to increase reimbursements from Medicare.
Author: Alan Condon
Pittsburgh-based Highmark Health posted an operating income of $440 million on revenues of $26 billion for fiscal year 2022, but investment slumps resulted in a net loss of $346 million for the year. Excluding investment losses, the company reported net…
Kaiser Foundation Health Plans, part of Oakland, Calif.-based Kaiser Permanente, added 36,000 members in 2022, putting it at more than 12.6 million members nationwide.
Before the pandemic, North Carolina State Health Plan, administered by Blue Cross Blue Shield North Carolina, grabbed headlines when it shifted from a commercial-based payment model to a reference-based government pricing model that reimburses providers based on a percentage above…