CMS dropped a proposed regulation that would have required Medicare Advantage plans to return overpayments found during chart reviews over industry opposition, KFF reported Aug. 27.
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ACA enrollees in Cook County, Illinois have access to 14% of local physicians, according to an Aug. 26 analysis from KFF.
The continued rising cost of healthcare is prompting many health plans to take a closer look at the value strong payment integrity programs can drive.
Aetna will cover intrauterine insemination as a medical benefit for eligible plans, a move the insurer called a "landmark policy change."
Pennsylvania has selected Aetna, UPMC Health Plan, Centene, AmeriHealth Caritas and Jefferson Health's Health Partners to administer its Community HealthChoices program.
Around 1 in 5 Medicare Advantage beneficiaries switch to traditional Medicare when their plans shut down, a study published Aug. 20 in JAMA Network Open found.
CareFirst BlueCross BlueShield, Johns Hopkins University and Techstars will partner on an accelerator program to launch new healthcare-focused AI companies.
Washington, D.C. has the highest Medicaid spending per enrollee, while Tennessee has the lowest, according to an Aug. 16 report from KFF.
UnitedHealth Group is among the potential buyers of ambulatory surgical center operator Surgery Partners, Bloomberg reported Aug. 23, citing sources close to the matter.
As healthcare costs continue to rise, a growing number of employers are exploring alternative payment models such as direct contracting, where the employer contracts directly with a provider for employee care.