A Senate report shows that UnitedHealth Group (UHG), the parent company to the nation's and Arizona's largest Medicare Advantage (MA) insurer, UnitedHealthcare (UHC), is artificially inflating the risk adjustment scores of its MA members in order to achieve higher reimbursement from the Medicare program.
The report is based on 50,000...
Medicare Advantage insurers are struggling to maintain strong projections of growth following the news of very meager reimbursement rate reductions.
The Centers for Medicare and Medicaid Services (CMS) anticipates that the 0.16% reduction in the MA benchmark rate in 2025 will come as an effect of modifications to the diagnostic coding...National News
Another new year, another report from the Medicare Payment Advisory Commission (MedPAC) saying that Medicare Advantage is more expensive in exchange for lower quality coverage.
This year, the commission found that the federal government will pay Medicare Advantage (MA) insurers $88 billion more than it would if their share of...
