Federal officials resolved more than a decade ago to crack down on whopping government overpayments to private Medicare Advantage health insurance plans, which were siphoning off billions of tax ...
An opinion piece co-authored by Donald Berwick, MD, former CMS administrator, chalks up the surge of Medicare Advantage offerings in recent years to the system being a “money machine” for payers.
In Part one of this two-part post, we explored the reasons for surging growth and profits in the Medicare Advantage (MA) program and the dynamics, largely related to risk-coding games, that make MA a ...
Tenet prepared for Medicare prior authorization pilot launching in six states in 2026, focusing on compliance and ...
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