Complaints about gaps in Medicare Advantage networks are common. Federal enforcement is rare.

Government documents show that federal regulators rarely warn plans that their networks of health providers are so skimpy ...
STAT

Justice Department sues Medicare Advantage insurers and brokers, alleging kickbacks

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also ...
Health Affairs

Medicare Advantage Whistleblower Lawsuit Alleges Insurer And Broker Misconduct

This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation.
WWNO

East Baton Rouge council asks retirees to switch to Medicare Advantage to fill budget gap

The East Baton Rouge Metro Council hopes to persuade more public service retirees to switch to a government-funded health care plan it offers to help make up for a $21 million budget shortfall. The ...
Insurancenewsnet.com

Kaiser Medicare notices spark panic in WA. Here’s what to know

Last week, people in Washington who get their Medicare Advantage coverage through Kaiser Permanente received a seemingly worrisome letter in the mail. More than 130,000 people across 15 counties in ...
STAT

Kaiser Permanente, DOJ nearing resolution in $1 billion Medicare fraud case

Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70. The Justice Department and Kaiser Permanente are nearing a deal in their behind-the-scenes ...
Seattle Times

Kaiser Medicare notices spark panic in WA. Here’s what to know

Last week, people in Washington who get their Medicare Advantage coverage through Kaiser Permanente received a seemingly worrisome letter in the mail. “Your Medicare plan won’t be offered in 2026,” it ...