Accounting & Financial Management
The complaint charges Cigna with encouraging diagnoses that yielded higher reimbursement for MA members.
While not all administrative spending is wasteful, about half is likely ineffective, meaning it has no effect on care quality, authors say.
The court estimates the alleged overpayments far exceeded $100 million over a span from 2014 to 2018.
High drug prices create affordability challenges for patients and the healthcare system, one of two reports found.
Beyond a social issue, health equity is a financial one, according to veteran healthcare executive Shreesh Tiwari.
Insurers argue the bill would 'weaponize' the Department of Labor by allowing it to sue an insurer for not covering mental health benefits.
Hospitals logged $39.3 million in improper Medicare Part B payments from 2016 to 2021, a new audit has found.
Envision will see weak liquidity over the following 12 to 18 months, and its $1.4B cash reserve will likely run dry by the end of next year.
The pitch to potential users is an integrated solution from one company that offers a more holistic approach to care.
While spending cuts will be needed, more taxes will be required to ensure the short-term stability of the program, Urban Institute found.