Insurance Business America

Insurer whacked with over half-a-billion settlement over fraud claims

Affiliates of Kaiser Permanente have agreed to pay $556 million to resolve allegations that they improperly boosted Medicare ...
Fierce Healthcare

Kaiser Permanente to pay $556M to settle Medicare Advantage fraud claims

Five Kaiser Permanente affiliates have agreed to a record-breaking $556 million settlement with the Department of Justice ...
Health Affairs

Medicare Advantage Denies 17 Percent Of Initial Claims; Most Denials Are Reversed, But Provider Payouts Dip 7 Percent

Boris Vabson ([email protected]), Harvard University, Boston, Massachusetts. Andrew L. Hicks, Harvard University. Michael E. Chernew, Harvard University. Policy makers have been paying increasing ...

Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans

Hospital systems say their Medicare Advantage plans can avert the upheavals of the private insurance market, giving patients ...
JD Supra

UnitedHealthcare Must Face State Law Claims in Class Action Suit for AI Driven Coverage Denials of Medicare Advantage Claims

The plaintiffs, who are UHC Medicare Advantage Plan customers and the estates of deceased customers, filed a class action complaint against UHC in November 2023, which was amended in April 2024, and ...
Hosted on MSN

Fairview access at risk for 33,000 patients in UnitedHealthcare Medicare Advantage

Fairview Health Services is alerting tens of thousands of patients with UnitedHealthcare Medicare Advantage insurance that they might lose in-network access to doctors and hospitals at one of ...