Class action suit targets Medicare Advantage insurer’s use of AI to end rehab stays
By
Josh Henreckson
Dec 14, 2023
Two skilled nursing patients filed a class action suit against Humana Tuesday — alleging their Medicare Advantage benefits were cut prematurely short because of Humana’s wrongful reliance on artificial...
The threat hiding in plain sight
By
Brendan Williams
Jun 05, 2023
Through overpayments, the federal government has effectively created unbeatable competition to the Medicare Fee For Service model, but at what cost to consumers and providers?
Medicare eligibility comes with increase in tooth loss, Harvard study reveals
By
Alicia Lasek
Feb 10, 2023
When patients become eligible for Medicare coverage, restorative dental care immediately falls and tooth loss increases, a new study from Harvard University and Brigham and Women’s Hospital has found.
When one dangerous compromise leads to another
By
James M. Berklan
Jun 28, 2021
Sometimes providers are backed into a corner and must do non-preferred things. But the big question becomes what’s the next step after the first concession?
Clinical Briefs for Wednesday, May 27
By
Alicia Lasek
May 26, 2020
White House lowers insulin costs to $35 a month for Medicare enrollees … CMS rule changes aim to increase telehealth access for Medicare Advantage beneficiaries … Sleep disturbances appear to predict...
New Medicare Advantage rules boost payments to plans, promise drug savings
By
Kimberly Marselas
Apr 04, 2018
Medicare Advantage plans will get 3.4% more in federal payments next year, while beneficiaries can hope for drug prices to decline.
CMS issues notice of sanctions to Medicare Advantage insurer
May 19, 2010
The Centers for Medicare & Medicaid Services this week informed Medicare Advantage insurer Quality Health Plans of its intent to impose intermediate sanctions and a civil monetary penalty (CMP) on the...