by Jessica Casebolt | Jul 12, 2023 | Payers, Tea Leaves
UnitedHealthcare will end out-of-pocket costs for its 24/7 Virtual Visits in some of its fully insured plans beginning July 1. The insurance giant revealed the change through a notice to its brokers about the new offering. According to the alert, the $0 cost for these...
by Jessica Casebolt | Jul 12, 2023 | Payers, Tea Leaves
Medicare Advantage (MA) beneficiaries given home-delivered meals in the four weeks after being discharged from a hospital were not only less likely to be readmitted within 30 days, they were also less likely to die, according to a study in JAMA Health Forum. The 2018...
by Jessica Casebolt | Jul 12, 2023 | Payers, Tea Leaves
The Centers for Medicare and Medicaid Services (CMS) proposed a payment boost for dialysis providers next year in a draft regulation released Monday. The agency is proposing to raise the end-stage renal disease Prospective Payment System base rate for dialysis...
by Jessica Casebolt | Jun 20, 2023 | Payers, Tea Leaves
The largest Medicare Advantage insurers want to cut benefits, increase premiums and make other structural changes to their plans next year to account for higher-than-anticipated medical expenses this year. Both Humana and United HealthGroup have reported that their...
by Jessica Casebolt | Jun 14, 2023 | Payers, Tea Leaves
Overpayments to insurers administering Medicare Advantage plans now exceed $75 billion a year due to aggressive coding of patients’ health conditions and easily achieved bonus payments tied to quality, researchers with the USC Schaeffer Center for Health Policy...
by Jessica Casebolt | May 4, 2023 | Payers, Tea Leaves
Medicare Advantage (MA) enrollment accounts for just over half of all Medicare beneficiaries, according to a new analysis from the Kaiser Family Foundation. KFF researchers analyzed data from the Centers for Medicare & Medicaid Services and found that 30.19...
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