An insurer reached a nearly $100 million settlement over allegations of overpayments, and CMS plans to sunset a value-based model over "unprecedented" costs.
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UnitedHealth Group has optimized its ability to increase Medicare Advantage members' sickness scores and corresponding government payments by directly employing thousands of physicians at Optum and integrating sophisticated software tools into clinical workflows, according to a Dec. 29 investigation from…
Climate change is becoming an increasingly urgent challenge for the health insurance industry.
Independent Health will pay up to $98 million to settle allegations a now-defunct subsidiary knowingly submitted invalid diagnoses to boost Medicare Advantage payments.
Medicaid could spend $29.9 billion on drugs to treat type 2 diabetes and weight loss, according to a report from HHS' Office of Inspector General.
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One in four people in the United States struggle with mental health, and leaders agree that today's system lacks the resources to support them. Issues such as prolonged wait times, inadequate insurance coverage, and a scarcity of providers across the…
Enrollment on the ACA marketplace reached 16.6 million consumers as of Dec. 18.
Three Democratic U.S. senators are asking the Government Accountability Office to investigate the costs of Georgia's Medicaid work requirement program, KFF Health News reported Dec. 18.
ICHRA broker platform Remodel Health has raised more than $100 million in growth funding.
Startup insurer Sidecar Health has inked a transparent pricing agreement with The Ohio State University Wexner Medical Center.