Author: Rylee Wilson

OIG audits found over $213 million in estimated Medicare Advantage overpayments in 2023. 

Texas has placed Bright Health's subsidiary in the state into receivership and ordered its assets liquidated, according to a court order issued Nov. 29. 

Cigna's Medicare Advantage business may have a potential buyer, and Washington is ramping up scrutiny on prior authorization and transparency in the program. 

Medicare Advantage rate changes will have a ripple effect through UnitedHealth Group's business in 2024, but its leaders have a sunny outlook despite lower projected growth. 

SelectCare of Texas, a Centene subsidiary, received an estimated $5.1 million in net Medicare Advantage overpayments in 2015 and 2016, according to an audit from HHS' Office of Inspector General published Nov. 27. 

Fourteen states gave managed care organizations payments for Medicaid enrollees for months after beneficiaries had died, a series of HHS Office of Inspector General audits found. 

Employers will be expecting insurers and vendors to deliver more transparency and ways to cut healthcare spending in 2024, according to the Business Group on Health. 

Nearly 4 million people applied to work at UnitedHealth Group in 2023, CEO Andrew Witty said. 

Blue Cross Blue Shield of Michigan has reached a tentative agreement with over 1,000 employees on strike. 

Concerns about Medicare Advantage denials are on the rise in Washington, Politico reported Nov. 24.