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Posts tagged with "MA fraud"

DOJ Files False Claims Act Suit Against CVS, Elevance & Humana for Broker Kickbacks National News

DOJ Files False Claims Act Suit Against CVS, Elevance & Humana for Broker Kickbacks

The U.S. Department of Justice has filed suit against three of the largest health insurers for an alleged scheme in which they paid kickbacks to brokers for steering Medicaid beneficiaries into their Medicare Advantage plans. The lawsuit was filed in Boston federal court earlier this week and targets the insurance giants for engaging...
2024 Medicare Advantage Rate Announcement Toolbox

2024 Medicare Advantage Rate Announcement

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CMS Backtracks on 2024 MA Rate Notice and Part D Rule Changes CMS Rules

CMS Backtracks on 2024 MA Rate Notice and Part D Rule Changes

Published Friday, the rate notice includes a 3.32% overall pay raise which was up from the 1.03% in the proposed rule. The Centers for Medicare and Medicaid Services (CMS) appears to have ceded to the demands of the insurance industry; the new pay rates translate to a $13.8 billion increase for insurers, according to Axios, CMS will...
National News

Medicare Advantage: Is It a Bubble or an Opportunity for Growth?

Medicare Advantage and the hundreds of investors pumping venture capital into new MA startups rely on one thing: MA growth. For the past several years, MA has been on a quick trend upward, but as it currently only captures under 50% of the market, some are left wondering if the seemingly endless demand isn't just a giant investment...
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Jul
17
Fri
2026
9:00 am 2026 Summer State of the State @ Summit Healthcare Conference Center
2026 Summer State of the State @ Summit Healthcare Conference Center
Jul 17 @ 9:00 am – 12:30 pm
2026 Summer State of the State @ Summit Healthcare Conference Center
This year, The Hertel Report Summer State of the State is hosted by our friends at Summit Regional Medical Center in Show Low. Our summer conference features our bi-annual Arizona healthcare market update, as well[...]
Jul
29
Wed
2026
1:00 pm Region 10 HFMA Webinar – Shiftin... @ Webinar
Region 10 HFMA Webinar – Shiftin... @ Webinar
Jul 29 @ 1:00 pm – 2:00 pm
Region 10 HFMA Webinar - Shifting Financial Responsibility: How Medicare and Medicaid Changes are Impacting the Revenue Cycle @ Webinar
Region 10 HFMA Webinar – Shifting Financial Responsibility: How Medicare and Medicaid Changes are Impacting the Revenue Cycle July 29, 2026 at 1:00 PM – 2:00 PM CT Add to Calendar Description Recent changes to Medicare and Medicaid[...]
Aug
27
Thu
2026
8:00 am NABIP-AZ Chapter Annual Conference @ Talking Stick Resort
NABIP-AZ Chapter Annual Conference @ Talking Stick Resort
Aug 27 @ 8:00 am – 6:00 pm
NABIP-AZ Chapter Annual Conference @ Talking Stick Resort
Click HERE to register and stay tuned for more conference details.    
Sep
17
Thu
2026
all-day Az HFMA 2026 Fall Conference @ Venue8600
Az HFMA 2026 Fall Conference @ Venue8600
Sep 17 – Sep 18 all-day
Save the date! Az HFMA 2026 Fall Conference September 17-18th Venue8600 8600 East Anderson Drive Scottsdale, AZ 85255 Stay connected for more details!!   
Oct
21
Wed
2026
all-day AzHHA 2026 Arizona Hospital Lead... @ El Conquistador Hilton Resort in Tucson, AZ
AzHHA 2026 Arizona Hospital Lead... @ El Conquistador Hilton Resort in Tucson, AZ
Oct 21 – Oct 23 all-day
AzHHA 2026 Arizona Hospital Leadership Conference @ El Conquistador Hilton Resort in Tucson, AZ
The AzHHA Foundation’s 2026 Arizona Hospital Leadership Conference will be held Oct. 21-23, 2026, at the exquisite El Conquistador Tucson, A Hilton Resort in Tucson, Ariz. This educational event is dedicated to supporting a vibrant[...]
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