by Carrie Haubensak | Oct 27, 2021 | Insurance Industry, Medicare, news
Centene is looking to divest “non-core assets” as it embarks on a long-term plan to improve its profit margin. Executives said they also plan to consolidate the company’s pharmacy benefit management business down to one platform and plan to send out...
by Carrie Haubensak | Sep 22, 2021 | Medicare
Medicare Advantage Part D new customer enrollments for three United Healthcare Group plans and one Anthem plan has been suspended for failing to meet medical loss ratio requirements. The Centers for Medicare & Medicaid Services (CMS) announced the suspensions in a...
by Carrie Haubensak | Sep 22, 2021 | Medicare, news
The federal government frequently alleges cases of overpayment to MA plans, which now cover about 42% of people in Medicare. It April, it said Humana had overcharged the program by nearly $200 million for submitting documentation claiming patients were sicker than...
by Carrie Haubensak | Aug 19, 2021 | Medicare, news
New data released today by the Centers for Medicare and Medicaid Services (CMS) shows more than 2.5 million people enrolled in health coverage on HealthCare.gov and state Marketplaces during the Biden-Harris Administration’s 2021 Special Enrollment Period (SEP), which...
by Carrie Haubensak | Aug 19, 2021 | Medicare, news
Medicare has been paying new hospitals three times the amount these facilities would have received if their capital costs were handled through the standard Inpatient Prospective Payment System (IPPS), according to a recent Office of Inspector General audit. Over a...
by Carrie Haubensak | Aug 10, 2021 | Medicare, news
The average Part D premium is projected to increase by nearly 5% from $31.47 to $33 in 2022. Thursday’s announcement comes as Congress and the Centers for Medicare & Medicaid Services are making moves to address drug prices on Part D, the program’s prescription...
