The savings impact of reining in Medicare Advantage fraud reaches into the high tens of billions of dollars every year.

Add Yahoo as a preferred source to see more of our stories on Google. Community Health Systems sued MultiPlan on May 8, 2024, alleging the cost management firm is colluding with health insurers to ...

Aetna has agreed to pay $117.7 million to settle allegations that it submitted false or inaccurate diagnoses to juice Medicare Advantage payments. Per an announcement from the Department of Justice, ...

DAVENPORT, Iowa (KWQC) - Federal officials are reminding Medicare users in Illinois and Iowa to watch for red flags and report suspected fraud. Here’s a quick to-do list to protect yourself: Then call ...

Healthcare workers, billing specialists, and medical professionals frequently encounter fraudulent practices that drain billions of dollars from Medicare programs annually. Yet many individuals who ...

The health insurance industry was caught off guard by the federal government's recent proposal to keep next year's payments to Medicare Advantage plans mostly flat, and to change a controversial ...

Aetna has agreed to pay $117.7 million to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate diagnosis codes for its Medicare Advantage enrollees ...

Polls show Americans are angry — and rightly so — at accelerating medical bills. Meanwhile, the insurers and hospitals keep raking in record profits. UnitedHealthcare just reported jumbo profits so ...