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Editorial: Does Medicare Advantage measure up?

Editorial: Does Medicare Advantage measure up?

By Merrill Goozner  |  November 11, 2017

The health plan star ratings have come under fire for not including more outcomes measures. Do these measurements reflect the outcomes that matter most to improving care?

Justice Department drops UnitedHealth's Medicare Advantage suit

Justice Department drops UnitedHealth's Medicare Advantage suit

By Erica Teichert  |  October 16, 2017

The U.S. Justice Department dumped its lawsuit accusing UnitedHealth Group and affiliated health plans of exaggerating how sick its patients were to score millions of dollars in inflated Medicare Advantage payments.

Medicare Advantage star ratings show insurers' performance hasn't improved

Medicare Advantage star ratings show insurers' performance hasn't improved

By Maria Castellucci  |  October 11, 2017

Data released Wednesday reveal that the number of 2018 Medicare Advantage plans that performed well in the CMS' star-ratings program dropped slightly from 2017. At the same time, the amount of insurers that receive certain ratings hasn't changed significantly in recent years.

UnitedHealth defeats federal Medicare Advantage suit

By Erica Teichert  |  October 06, 2017

A federal judge tossed the Department of Justice's suit claiming UnitedHealth Group scored millions in inflated Medicare Advantage payments, striking a blow against the feds' latest attempt to fight medical upcoding and alleged fraud.

CMS lifts Medicare Advantage sanctions on Cigna

CMS lifts Medicare Advantage sanctions on Cigna

By Shelby Livingston  |  June 16, 2017

Bloomfield, Conn.-based Cigna may immediately resume marketing its Medicare Advantage plans and enrolling members. Insurance industry analysts noted that the lifted sanctions pave the way for Cigna to pursue an acquisition in the lucrative Medicare Advantage segment.

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