Groups representing insurers are pushing back on proposed tighter regulations on Medicare Advantage coding. Senate Republicans are considering targeted changes to Medicare Advantage as part of the ...

CMS will audit every Medicare Advantage plan for potential overpayments annually, in what the agency called an “aggressive” plan to step up oversight. According to a May 21 news release, the agency ...

Medicare Advantage insurer Devoted Health has laid off 120 employees, a small percentage of its more than 2,000 employees. “Devoted Health’s recent workforce changes are in line with our ongoing ...

The trade group representing insurers is warning budget legislation could lead to ‘unprecedented’ coverage losses. In a May 22 statement, AHIP President Mike Tuffin said that proposed budget ...

AI, digital health and value-based care are among the biggest buzzwords in healthcare — and might be overhyped, according to these payer executives. Becker’s connected with 11 leaders to learn what’s ...

Federal lawmakers have reintroduced the “Improving Seniors’ Timely Access to Care Act,” a bipartisan bill that aims to streamline the prior authorization process for Medicare Advantage enrollees. The ...