The CMS will have to defend in court its Affordable Care Act rule that treats Medicare Advantage overpayments like False Claims Act violations after a federal judge refused to toss UnitedHealthcare's lawsuit challenging it.
The U.S. Justice Department has joined a whistle-blower lawsuit claiming that UnitedHealth Group and affiliated health plans defrauded the Medicare program, collecting millions of dollars by claiming patients were sicker than they really were.
The U.S. Justice Department has joined a whistle-blower lawsuit claiming that UnitedHealth Group and affiliated health plans have been gaming the Medicare program and fraudulently collecting millions of dollars by claiming patients were sicker than they really were.
Camden Coalition of Healthcare Providers' executive director, Dr. Jeffrey Brenner, will leave his post and take a new role as Unitedhealthcare's senior vice president of integrated health and human services.
Iowa's controversial privatized Medicaid program is facing intense scrutiny and financial concerns from the health insurers that run it—Anthem's Amerigroup, AmeriHealth Caritas and UnitedHealthcare.
Tenet Healthcare Corp. has locked up new multiyear contracts with insurance giants UnitedHealthcare and Centene Corp., cementing pricing for the hospital system and uninterrupted service for the insurer's members.
Star ratings are usually what draw consumers to Advantage plans. And insurers will once again see who's gaining beneficiaries as open enrollment for Medicare ends this week.
The demand for bundled payments has come primarily from employers, who want predictable medical costs and better quality of care for employees, UnitedHealthcare said.
Third-quarter profit shot up at UnitedHealth Group, just as the health insurance and services conglomerate is set to drastically reduce its presence in the Affordable Care Act's individual marketplaces.
Carolinas HealthCare System is fighting back against a lawsuit by the U.S. Justice Department that alleges the system imposed anti-competitive contract requirements on insurers, saying a federal appeals court has rejected the government's arguments.
Doctors say they're losing patients when commercial health plans automatically move consumers over to a Medicare Advantage plan when they turn 65. The MA plans mean more revenue for insurers, but it often means patients' usual doctors will be considered out of network.
Both Democrat Hillary Clinton and Republican Donald Trump have reportedly tapped policy experts with some healthcare experience for their transition teams.