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The rapid growth of private Medicare Advantage plans is raising questions about what care could — and should — look like for all 80 million people expected to be on Medicare by 2030.
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Privately run Medicare Advantage plans have overcharged the federal government by billions of dollars, yet Medicare hasn't been effective in recouping the excessive payments, an audit found.
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A whistleblower suit against Humana Inc. alleges the insurer turned a blind eye to billing fraud involving Medicare patients. People were diagnosed with more serious ailments than they actually had.
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The federal government overpaid for nearly half of the patients of a Medicare Advantage plan, a Medicare audit found. At issue is whether insurers "upcode" diagnoses to reap bigger payments.
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Federal authorities are investigating claims that some Medicare Advantage health plans have overcharged the government for years by claiming that patients are sicker than they are.
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http://media.soundmedicine.org/segments/041314_1.mp3The federal government recently proposed new regulations that will help protect Medicare Advantage…
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http://media.soundmedicine.org/segments/041314_full.mp3The "Sound Medicine" program for April 13 Changes to Medicare Advantage fundingCrowdfunding to…