The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

Health insurer stocks fell early Thursday after the Centers for Medicare and Medicaid Services (CMS) said it would expand auditing efforts for Medicare Advantage in a crackdown on overpayments. Humana ...

Mehmet Oz attends his confirmation hearing with the Senate Finance Committee in the Dirksen Senate Office Building on March 14, 2025, in Washington, D.C.

Federal officials resolved more than a decade ago to crack down on whopping government overpayments to private Medicare Advantage health insurance plans, which were siphoning off billions of tax ...

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

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.

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.

Nursing home stakeholders remain cautiously optimistic regarding Medicare Advantage plan audits announced by the Centers for ...

From Other Nonprofit Media showcases select work from other nonprofit news sites around the nation. The Justice Department’s years-long court battle to force UnitedHealth Group to return ...

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.