After intense lobbying by insurers, U.S. health officials say changes to reduce overbilling in Medicare Advantage will be ... exploiting a formula to extract overpayments from the federal government.

Medicare Advantage has become a system dominated by a handful of massive insurers who are gaming the rules for profit and ...

Still, if these overpayments were the only problem with Medicare Advantage, giving the insurance firms a big haircut might fix the program’s defects. The problems, however, run deeper.

said it would expand auditing efforts for Medicare Advantage in a crackdown on overpayments. Humana stock, a MA pure play, fell 2.8% to $239 in premarket trading Thursday. UnitedHealth and CVS ...

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

A combination of calculated insurer behaviors and policy design flaws leads Medicare to pay more when a person enrolls in MA rather than traditional Medicare. Two key overpayment contributors, as ...

Democratic senators led by Elizabeth Warren urged top Biden health officials to take a harder line on private Medicare Advantage health ... plans cost taxpayers. Overpayments to plans run as ...

Medicare Advantage is arguably the most controversial health care program right now — a sentiment that was bolstered Friday by striking new data about overpayments and an uncommon political jab ...

The insurer is the largest Medicare Advantage contractor and accounted for about two-thirds of the payments tied to home visits and related data mining of patient files cited in the audit.

Medicare Dis-Advantage: Overpayments and Inequity The very “choice” that Medicare Advantage is said to offer is undermining Medicare’s promise of equal and universal care for seniors.