Last week, the Justice Department announced it was prosecuting a former executive of HealthSun Health Plans, an insurer offering Medicare Advantage plans in Florida, for engaging in millions of...
Diane Archer
People under 65 with Medicare less satisfied than people over 65
People under 65 with disabilities are less satisfied with Medicare than adults over 65, reports Kaiser Family Foundation. The reason is likely that people with disabilities need a lot more health...
Underpayments lead hospitals and specialists to cancel Medicare...
Ken Alltucker reports for USA Today on how insurers offering Medicare Advantage plans are underpaying hospitals and specialists. Consequently, these health care providers are dropping their Medicare...
200,000 UnitedHealth enrollees in North Carolina likely losing...
The University of North Carolina (UNC) Health is planning to end its contract with UnitedHealth because it is “not negotiating with us in good faith.” Two hundred thousand people...
The cost of weight-loss drugs is driving up our insurance...
Gina Kolata reports for The New York Times that the cost of weight-loss drugs is not what it seems. People must take them throughout their lives, and weight-loss drugs have list prices of as much as...
2024: Medicare Part D coverage and costs
Whether you are enrolled in traditional Medicare or a Medicare Advantage plan, Medicare covers the prescription drugs you get from the pharmacy under Medicare Part D. The vast majority of people with...
Rural hospitals accept Medicare Advantage at their peril
Sarah Jane Tribble reports for Kaiser Health News that small rural hospitals have been hit hard by Medicare Advantage. The CEO of Battle Mountain General Hospital, in a Nevada gold mining town...
Pharmacies sue pharmacy benefits manager for overcharging them
In a health care world in which, among other things, the government is now overpaying insurers offering Medicare Advantage plans $140 billion this year without seeming to blink, pharmaceutical...
UnitedHealth renames company responsible for massive...
A while back, I reported on a story in Stat News that exposed a division of UnitedHealth, NaviHealth that uses artificial intelligence, AI, to deny thousands of Medicare Advantage claims, in seconds...
Want your prescription drugs quickly? Get drone delivery
Bruce Japsen writes for Forbes on drone delivery of prescription drugs. If you happen to live in certain cities, you can now have your prescriptions dropped outside your door within an hour of your...