Medicare Advantage differs from traditional Medicare in several aspects of care quality and cost, research published in the last year shows.
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Medicare Advantage plans are not required to identify when payments claims were denied, hindering fraud, waste and abuse investigations, according to a new report from HHS' Office of Inspector General.
Digital health company Transcarent has tapped longtime Cigna executive Tom Richards to serve as its executive vice president of business development.
Humana and Aledade are partnering for 10 years on value-based primary care for seniors, which includes a path to full-risk agreements.
A majority of the nation's largest health systems and payers have filed their fourth quarter earnings reports. Becker's has compiled their year-end net profits and losses to examine where the healthcare financial landscape stands among the largest players as of…
Excellus BlueCross BlueShield posted $58.9 million in profits in 2022, a 50 percent decline in net income from 2021.
States can begin disenrolling members from Medicaid April 1, the first time states have redetermined who is eligible for the program since 2020.
Healthworx, the innovation and venture capital arm of CareFirst BCBS, and Baltimore-based LifeBridge Health have selected eight healthcare startups to participate in their 1501 Health Incubator program.
As budget fights continue in the nation's capital over funding of public insurance programs like Medicare and the ACA, work requirements for Medicaid have once again resurfaced in potential proposals.
Leaders of the North Carolina House and Senate have agreed on a Medicaid expansion plan, radio station WUNC reported March 2.