UnitedHealth’s Optum working on Medicare Advantage AI risk score system
Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses ...
Tag: Advantage
CMS proposes Medicare Advantage rate hike for 2026
The Biden administration’s final regulation affecting the Medicare Advantage industry would come with a much lighter touch than the past ...
UnitedHealth wins lawsuit over Medicare Advantage ratings
A conservative federal judge in Texas has ruled in favor of UnitedHealth Group, saying the federal government unlawfully factored in ...
UnitedHealth used HRAs, chart review to boost Medicare Advantage profits
For the nation’s largest health insurer, the evidence of abuse was stunning and unmistakable: UnitedHealth Group reaped billions from the ...
Medicare Advantage Star Ratings Drop Again
Average Medicare Advantage star ratings have declined once again, the Centers for Medicare and Medicaid Services (CMS) announced Thursday. For ...
Federal government may be paying twice for care of veterans enrolled in Medicare Advantage plans
Credit: Unsplash/CC0 Public Domain From 2011 to 2020, the Veterans Health Administration spent $78 billion to care for U.S. military ...
UnitedHealth suit challenges Medicare Advantage star ratings
UnitedHealth Group is suing the Centers for Medicare and Medicaid Services, asking a judge to halt the federal agency from ...
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