Automated health risk assessments powered by artificial intelligence are the latest tool to maximize Medicare Advantage ...

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Democrats urge GOP to tackle Medicare Advantage upcoding instead of Medicaid cuts, citing $50B in waste. CBO predicts 5M+ ...

Democratic lawmakers are asking GOP leadership to reject Medicaid cuts in favor of going after Medicare Advantage “upcoding” ...

Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for ...

Advocates highlighted that program costs have seen margins fall sharply in the insurance sector. Enrolled older adults have ...

Original Medicare and Medicare Advantage (Part C) cover hospitalization, medical appointments, and other healthcare costs. Original Medicare is government-run, while Medicare Advantage plans are ...

UnitedHealth Group seemed immune from the higher costs and systemic changes in the Medicare Advantage program that bedeviled ...

There are expenses that Medicare won't cover in 2025, and it's important to find other ways to cover these costs.

Eyeglasses and contact lenses: Medicare will not pay for eyeglasses or contact lenses, with one exception: If you have had a ...

The complaint names units of CVS Health, Elevance Health and Humana, along with broker companies eHealth, GoHealth, and ...

The city’s public employee unions are challenging a bid by the Adams administration to recoup expected savings from a halted ...