A new audit conducted by the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) found that between 2015 and 2016, insurer Aetna received $25.5 million in Medicare Advantage overpayments. Also, plans are developing new offerings that aim to target the needs of specific demographics.
The OIG audit...
Most MA growth was driven by switchers and younger and healthier Medicare beneficiaries had better odds of switching from Original Medicare to Medicare Advantage (MA), but lower odds of switching from MA to Original Medicare. Complicating matters: older and sicker beneficiaries were more likely to switch out of MA into Original Medicare....National News
The Medicare open enrollment season is in full swing and is expected to further entrench Medicare Advantage's market penetration. Traditional Medicare and Medicare Advantage are both working to incentivize enrollment and stabilize their representation in the market.
Over a third of Medicare beneficiaries intend to stick with whatever...Arizona News
This enrollment period marks the first where individuals will not incur penalties for failing to purchase health insurance coverage and compared to last year's numbers, Affordable Care Act (ACA) enrollment has declined by eight percent in its first two weeks.
With more insurers entering the individual marketplace and incumbents...Arizona News
The personal information of approximately 75,000 people was breached last month after a government run healthcare sign-up system was hacked. The Centers for Medicare and Medicaid Services (CMS) announced the news on Friday, Oct. 19 just a few weeks before the Affordable Care Act exchange opens up for open enrollment.
CMS administrator...