Aetna is seeking to defend a contract to provide a Medicare Advantage plan for New York City's retired employees in court, and new research finds overpayments in the program could be larger than previously thought.
Author: Rylee Wilson
The Supreme Court upheld the Justice Department's decision to dismiss a whistleblower lawsuit alleging a UnitedHealth Group subsidiary overcharged Medicare.
New York City Mayor Eric Adams is overriding the city comptroller's attempt to block the implementation of its contract with Aetna to administer a Medicare Advantage plan for 250,000 city retirees.
California's Department of Managed Healthcare has fined Kaiser Permanente $450,000 for sending mailings with enrollees' private health information to incorrect addresses.
The Alliance of Community Health Plans is proposing a set of policies aimed at curbing misleading marketing in Medicare Advantage.
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More than 1 million people have been disenrolled from Medicaid coverage, according to June 12 data from KFF.
Cigna is delaying a prior authorization policy and pursuing legal action to keep one of its former executives from joining CVS Health.
CMS is projecting a 7.7 percent increase in private health insurance spending in 2023, driven by an increase in utilization and rising prices of medical care.
Four in 5 adults with employer-sponsored insurance rated their coverage positively, but many also reported having problems with their insurance in the past 12 months, according to a survey from KFF.
The American Medical Association is raising concerns about the use of artificial intelligence to review claims for prior authorization.