As the CMS seeks to crack down on the accuracy of Medicare Advantage provider networks, plans worry they don't have the guidance they need to avoid being penalized.
A fast-growing Chicago company that provides primary care for the elderly has inked what could be a lucrative deal to join Aetna's Medicare Advantage network.
Insurers are grappling with how to manage their government and individual lines of business, with mixed results.
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.
The two managed-care providers allegedly submitted false claims to the CMS from 2008 to 2013 in order to inflate reimbursement dollars for some of its Medicare Advantage plans.
The Department of Justice's increased focus on investigating alleged fraud in the Medicare Advantage program is likely to change the way insurers do business, according to lawyers who specialize in False Claims Act suits.
Doctors want the CMS to better sync policies for Medicare Advantage, Medicare fee-for-service and ACOs to help cut their regulatory burden.
The insurer celebrates a healthy fiscal year by doubling down on Medicare Advantage and Medicare Part D.
Quality of care in Medicare Advantage differs signficiantly whether the patient is a man or a woman, or whether that patient is black, white or Hispanic.
Health insurance companies received a gift from the federal government last week. The 2018 Medicare Advantage rate policies included better-than-expected pay bump and industry-friendly policies.
Health insurance companies received a gift from the federal government earlier this week. The 2018 Medicare Advantage rate policies included better-than-expected pay bump and industry-friendly policies.
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.