The Justice Department is pursuing legal action against several major Medicare Advantage payers and providers for alleged fraudulent risk adjustment coding practices, according to The Washington Post.
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A Colorado bill that would require healthcare-sharing ministries to submit annual reports on their operations to the state's insurance commissioner has been sent to Gov. Jared Polis' desk.
The board of governors for L.A. Care Health Plan unanimously approved a resolution in support of federal gun safety legislation following several mass shootings across the country in recent weeks.
Humana hired Adam Buckalew from consulting firm Alb Solutions in April to work on healthcare payment policy, Medicare Advantage, Medicare Part D, healthcare clinical services and other payer policy matters, according to Politico.
Duffy & Duffy, a medical malpractice law firm based in Uniondale, N.Y., surveyed 3,251 individuals across the country in April to determine which states' residents know the most and least about their health plan policies.
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UnitedHealthcare told the Supreme Court on May 31 that the U.S. Court of Appeals for the District of Columbia made a mistake last August when it ruled against the payer's legal challenge to a Medicare Advantage overpayment rule.
The financial outlook for Medicare's hospital insurance trust fund improved slightly in 2021, but the threat of insolvency still looms, according to the "2022 Medicare Trustees Report" released June 2.
Blue Cross and Blue Shield of Minnesota has added two executives to its senior leadership team.
Medicaid expansion in North Carolina passed through the state Senate with near unanimous approval, but is expected to face a much tougher challenge in the House, the Carolina Journal reported June 2.
Spending among traditional Medicare beneficiaries fell 5.8 percent in 2020, marking the first decrease in more than two decades, according to a Kaiser Family Foundation report released June 1.