Affiliates of Kaiser Permanente have agreed to pay $556 million to resolve allegations that they improperly boosted Medicare ...
The Justice Department and whistle-blowers accused the major health insurer of overbilling the government for about $1 ...
Kaiser Permanente and the DOJ reached a $556 million Medicare Advantage fraud settlement, the largest of its kind.
A bipartisan group of lawmakers has introduced legislation in both chambers of Congress requiring Medicare Advantage (MA) plans to promptly pay out providers’ claims, with up to a $25,000 fine and ...
The rate of Medicare Advantage (MA) claims has escalated in recent years, prompting medical and government scrutiny of prior authorization processes that slow down care in favor of cost savings.
A lawsuit filed November 2023 against UnitedHealth Group, which is UnitedHealthcare's parent company, claimed the company used the error-prone technology to deny claims from patients with Medicare ...
When I investigated and litigated False Claims Act (FCA) cases at the U.S. Department of Justice (DOJ) over the last 10 years, I was often surprised by just how little I knew about the broad array of ...
Many Medicare enrollees are being steered into products that are “misaligned” with their best interests, according to a recent analysis from the Urban Institute. According to the September report, ...
Fairview Health Services is alerting tens of thousands of patients with UnitedHealthcare Medicare Advantage insurance that they might lose in-network access to doctors and hospitals at one of ...
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