Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the ...
Medicare Advantage, a private alternative to traditional Medicare, offers extra benefits and low monthly premiums. However, prior authorizations and claim denials complicate this increasingly popular ...
A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. KFF ...
CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against ...
Medicare-Medicaid dual enrollees accounted for roughly a third of those programs’ spending but less than 20 percent of enrollment in 2021. Policy makers have responded to dual enrollees’ high levels ...
Medicare Advantage is facing unprecedented challenges from a decrease in reimbursement rates and the federal government’s ...
Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as being available to treat the plans' members, a new federal watchdog report says.
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