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Medicare & Medicaid

By Susan Morse | 12:24 pm | February 29, 2024
Change confirmed today that ALPHV/Blackcat perpetrated the cybercrime. 
By Jeff Lagasse | 11:43 am | February 28, 2024
One-third of beneficiaries participating in the Commonwealth Fund survey indicate their coverage fell short of their expectations.
By Jeff Lagasse | 12:04 pm | February 27, 2024
SCAN Health Plan is the first payer to offer a tailored version of Marketplace Search for its members specifically for a Medicare use case.
By Jeff Lagasse | 03:54 pm | February 26, 2024
Overall, healthcare fraud was responsible for two-thirds of the recovered amount in 2023.
By Susan Morse | 12:24 pm | February 22, 2024
Regardless of party affiliation, unexpected medical bills and healthcare costs top expenses adults worry about, according to a KFF poll.
By Jeff Lagasse | 11:41 am | February 22, 2024
The news comes months after the company says it would begin serving 50 million Medicare and Medicaid beneficiaries.
By Susan Morse | 12:14 pm | February 20, 2024
The MA insurer sampled received at least $3.7 million of net overpayments for 2017 and 2018, the OIG found. 
By Jeff Lagasse | 11:53 am | February 19, 2024
The Medicare Prescription Payment Plan is part of a suite of provisions aimed at lowering prescription drug and healthcare costs.
By Jeff Lagasse | 04:10 pm | February 15, 2024
The percentage of America's rural hospitals operating in the red jumped from 43% to 50% in the last 12 months, the biggest leap yet.
By Jeff Lagasse | 12:29 pm | February 14, 2024
The hospital claims that reimbursements for the drugs were determined by a payment model that is no longer valid.