KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits
The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.
Medicare Advantage
81-100 of 132 results
-
-
Missouri Firm With Silicon Valley Ties Faces Medicare Billing Scrutiny
Amid an overall crackdown on private insurers鈥 Medicare billing practices, a new government audit and a whistleblower suit allege St. Louis-based Essence Group Holdings Corp.'s Medicare Advantage plans overcharged taxpayers.
By Lauren Weber and Fred Schulte -
Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle To Stop It
An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.
By Fred Schulte and Lauren Weber -
Social Security Error Jeopardizes Medicare Coverage For 250,000 Seniors
The problem affects private drug policies and Medicare Advantage plans that provide both medical and drug coverage and substitute for traditional government-run Medicare. It could leave plan members without coverage.
By Susan Jaffe -
Podcast: KHN鈥檚 鈥榃hat The Health?鈥 You Have Questions, We Have Answers
Jennifer Haberkorn of the Los Angeles Times, Joanne Kenen of Politico and Kimberly Leonard of the Washington Examiner join KHN鈥檚 Julie Rovner to answer listener questions about the fate of the Affordable Care Act, 鈥淢edicare-for-all鈥 and how to talk about health care costs. Also, for extra credit, the panelists offer their favorite 鈥渆xtra credit鈥 stories of the week.
-
Making Smarter Decisions About Where To Recover After Hospitalization
Older adults 鈥 and their families 鈥 often find it challenging and stressful to find the best facility. And they often end up in the wrong spot, new research shows.
-
Costly Confusion: Medicare鈥檚 Wellness Visit Isn鈥檛 The Same As An Annual Physical
Medicare doesn鈥檛 pay for an annual physical, but it does cover an annual wellness visit focused on preventing disease and disability by coming up with a 鈥減ersonalized prevention plan鈥 for future medical issues. It is important to use the correct term when scheduling a doctor鈥檚 visit.
-
Understanding Loneliness In Older Adults 鈥 And Tailoring A Solution
New research shows that older adults want close relationships with the people they care about and meaningful social roles.
-
Is New App From Feds Your Answer To Navigating Medicare Coverage? Yes And No
The Centers for Medicare & Medicaid Services launched this month the 鈥淲hat鈥檚 Covered鈥 app, designed to provide yes-or-no answers about what services are covered under traditional Medicare. KHN took it for a test drive with real consumers.
By Rachel Bluth -
Podcast: KHN鈥檚 鈥榃hat The Health?鈥 ‘Medicare-For-All’ For Dummies
The 鈥淢edicare鈥揻or-all鈥 debate is already in full swing, but what does that phrase even mean? Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Rebecca Adams of CQ Roll Call join KHN鈥檚 Julie Rovner for a beginner鈥檚 guide to the next big health policy debate. For 鈥渆xtra credit,鈥 the panelists provide their favorite health policy stories of the week, and as a special Valentine鈥檚 Day bonus, their favorite #HealthPolicyValentines.
-
Seniors Steamed Over Cuts To SilverSneakers Fitness Program
UnitedHealthcare has put the skids on offering SilverSneakers, the nation鈥檚 fitness program for seniors, as part of its benefit packages. A look at why and some alternatives.
-
Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find
Federal officials are hailing the introduction of services such as transportation to medical appointments, home-delivered meals and installation of wheelchair ramps as a way to keep beneficiaries healthy and avoid costly hospitalizations. But not many plans are offering the services in 2019.
By Susan Jaffe -
Readers And Tweeters: Are Millennials Killing The Primary Care Doctor?
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
-
Podcast: KHN鈥檚 鈥榃hat The Health?鈥 Republicans鈥 Preexisting Political Problem
In this episode of KHN鈥檚 鈥淲hat the Health?鈥 Julie Rovner of Kaiser Health News, Rebecca Adams of CQ Roll Call, Stephanie Armour of The Wall Street Journal and Joanne Kenen of Politico discuss how protections for people with preexisting conditions have become a top issue in the elections, Trump administration efforts to make prescription drug prices more public and the start of Medicare鈥檚 annual open-enrollment period. Plus, Rovner interviews California Attorney General Xavier Becerra.
-
Medicare Advantage Riding High As New Insurers Flock To Sell To Seniors
The private health plans that are an alternative to government-run Medicare continue to grow despite the Affordable Care Act鈥檚 cuts of billions of dollars in funding.
-
Medicare Advantage Plans Shift Their Financial Risk To Doctors
Some private Medicare Advantage plans are offering large physician-management companies more money upfront and control of their patients鈥 care, but the doctors are responsible for staying within the budget.
-
Feds Settle Huge Whistleblower Suit Over Medicare Advantage Fraud
A DaVita subsidiary will pay $270 million over allegations that it cheated the federal government for years.
By Fred Schulte -
Readers And Tweeters Slice And Dice Precision Medicine, Step Therapy
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
-
New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices
Federal officials are allowing the private insurance plans to use 鈥渟tep therapy鈥 for drugs administered by doctors. In step therapy, patients must first use cheaper drugs to see if they work before receiving more expensive options.
By Susan Jaffe -
Podcast: KHN鈥檚 鈥榃hat The Health?鈥 Coming Soon: 鈥楲ong-Term Short-Term鈥 Plans
In this episode of KHN鈥檚 鈥淲hat the Health?鈥 Julie Rovner of Kaiser Health News, Anna Edney of Bloomberg News, Margot Sanger-Katz of The New York Times and Kimberly Leonard of the Washington Examiner talk about the latest Trump administration efforts to address high drug prices, what鈥檚 next for short-term health insurance plans and insider trading charges against a New York GOP congressman.