Medicare Advantage overpayments may be higher than the Medicare Payment and Advisory Commission estimates, a June study from researchers at the Los Angeles-based University of Southern California found.
Author: Rylee Wilson
CMS is proposing broader coverage of PET scans for patients with Alzheimer's disease, which can help determine if patients are eligible for newly-approved drugs to treat the disease.
Pfizer CEO Albert Bourla, PhD, was the highest-paid executive out of the 11 healthcare firms in the top 50 companies on the 2023 Fortune 500 rankings.
Alignment Health has named Christopher Joyce as chief legal and administrative officer.
Humana is warning of rising medical utilization rates and has published new research findings.
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Centene received workforce awards and beat out Optum for a behavioral health contract with Idaho in the past month.
Payers are using artificial intelligence to speed up administrative processes, improve customer services and analyze data.
The nation's largest insurers have warned of increasing medical costs next year, driving up medical loss ratios and member premiums.
UnitedHealthcare is expecting medical costs for its Medicare Advantage members to keep rising, the company's top executives said.
Optum, UnitedHealth Group's health services arm, is a major player in many corners of the healthcare industry, including pharmacy, primary care and revenue cycle management.