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The Latest Breaking News from Medicare Advantage

CVS acquires Oak Street primary care for $10.6 billion

CVS Health is plunging deeper into providing primary care with an approximately $10.6 billion deal to acquire Oak Street Health

The Independent UK

What’s new for Medicare in 2023?

A new year means changes to Medicare, including updated premiums and deductibles and sometimes big policy moves

The Independent UK

They openly ripped off Medicare

Health plans will be allowed to pocket hundreds of millions of dollars in overcharges for audits before 2018

Salon

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Medicare Advantage plans overcharged government hundreds of millions but get to hang onto the money

The federal Medicare agency will require next to nothing from insurers for excess payments they got from 2011 to 2017 and won’t impose big penalties until audits for 2018 and beyond are conducted, which could be years.

Chicago Sun-Times

Feds expect to collect $4.7B in insurance fraud penalties

The Biden administration is estimating that it could collect as much as $4.7 billion from insurance companies with newer and tougher penalties for submitting improper charges on the taxpayers’ tab for Medicare Advantage care

The Independent UK

Did your health plan rip off Medicare?

Previously secret government audits reveal millions of dollars in overpayments to Medicare Advantage health plans

Salon

Medicare coverage can be a bit of a mystery: Here are the big coverage gaps to watch out for

Navigating Medicare can be confusing, especially when you’re trying to understand what the insurance actually covers.

Fortune

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Why do so many older adults choose Medicare Advantage?

In 2022, 48% of Medicare beneficiaries were enrolled in Medicare Advantage plans instead of original Medicare, and experts predict the number will be higher in 2023

The Independent UK

Medicare Starter Guide

Medicare is a federal health insurance program available to people 65 years of age or older, as well as to people with certain disabilities

inkl

Providers say Medicare Advantage hinders new methadone benefit

In 2018, responding to a wave of overdose deaths, Congress passed legislation requiring Medicare to pay for services at opioid treatment programs for the first time.

Tribune News Service

Providers say Medicare Advantage hinders new methadone benefit

A new benefit aimed at helping treat opioid use disorder can be hard to access for those who use Medicare Advantage plans, advocates say.

Roll Call

3 Stocks to Help You Get Through Today's Market Fear

Instead of a Santa Claus rally, the market continues to experience volatility at the end of the year with uncertainties surrounding the reopening of the Chinese economy and a looming recession due to seemingly unending interest rate hikes. Given this backdrop, loading up on fundamentally strong stocks Walmart (WMT), Pfizer…

StockNews.com

Did Medicare Advantage plans overcharge?

Some Medicare Advantage plans failed to produce any records to justify their payments, government records show

Salon

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

In April 2016, government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical records of patients treated by a podiatry practice whose owner had been indicted for fraud.

Tribune News Service

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Fortune

A frozen capital market and an insurance premium shock: 10 health care predictions for 2023 from top investors

Distressed deals, inflation in insurance premiums, and restrictions on transgender treatments. Here's what the health care sector will look like in 2023, according to top investors.

Chicago Sun-Times

Medicare Advantage health plans dodged auditors, overcharged taxpayers millions

A review of 90 government audits reveals the plans have repeatedly tried to get around mandates to document medical conditions the government paid them to treat.

Salon

The Medicare Advantage plan scandal

Health insurers that issue Medicare Advantage plans have repeatedly tried to sidestep regulations, audits find

WEKU

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

A KHN investigation found when some Medicare Advantage plans got a rare federal audit, they couldn't produce billing records for care they said they'd provided. Some blamed fire, flood — or doctors.

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Chicago Sun-Times

Over-the-counter hearing aids are here: everything you need to know

First made available in October for adults with mild to moderate hearing loss, they’re cheaper and easier to get. Here’s a guide to who can use them and how to get them.

The Independent UK

FDA change ushers in cheaper, easier-to-get hearing aids

It's now a lot easier and cheaper for Americans to get hearing aids

Tribune News Service

Audits — hidden until now — reveal millions in Medicare Advantage overcharges

Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans for seniors, with some plans overbilling the government more than $1,000 per patient a year on average.

WEKU

Hidden audits reveal millions in overcharges by Medicare Advantage plans

Taxpayers footed the bill for care that should have cost far less, according to records released under the Freedom of Information Act. The U.S. government may charge insurers $650 million as a result.

The Independent UK

5 mistakes you’re making with Medicare open enrollment

Millions of retirees are in the thick of Medicare open enrollment, which runs from Oct. 15 to Dec. 7, but many find the process challenging

Tribune News Service

Medicare phone scammers want to slash your benefits and leave you with fewer in-network providers

You answer the phone and you’re greeted by a weird tone, followed by a few seconds of silence.

The Independent UK

Medicare enrollees warned about deceptive marketing schemes

With Medicare’s open enrollment underway, health experts are warning older adults about an uptick in misleading marketing tactics that might lead some to sign up for Medicare Advantage plans that don’t cover their doctors or prescriptions and drive up their out-of-pocket costs

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