Health Care Overpayment News
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New Medicare Rule Aims to Take Back $4.7 Billion …
(8 days ago) WebThe administration said it expects to collect as much as $4.7 billion over a decade from its heightened oversight. The rule strengthens the ability of the government to audit plans and recover the
https://www.nytimes.com/2023/01/30/upshot/medicare-overbilling-biden-rule.html
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Medicare Advantage plans overcharged Medicare, …
(9 days ago) WebUnitedHealthcare and Humana, the two biggest Medicare Advantage insurers, accounted for 26 of the 90 contract audits over the three years. In all, the 90 audits found plans that received $22.5
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Government Lets Health Plans That Ripped Off …
(Just Now) WebThe audits found about $12 million in net overpayments for the care of 18,090 patients sampled for the three-year period. In all, 71 of the 90 audits uncovered net overpayments, which topped $1,000 per patient on …
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U.S. Supreme Court rebuffs UnitedHealth Group challenge on …
(8 days ago) WebJune 21 (Reuters) - The U.S. Supreme Court on Tuesday declined to hear UnitedHealth Group Inc's (UNH.N) challenge to a government rule requiring private insurers that …
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Humana Inc. Overcharged Medicare Nearly $200 Million, Federal
(3 days ago) WebA Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new …
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Audits — Hidden Until Now — Reveal Millions in - KFF Health …
(3 days ago) WebThe government’s audits uncovered about $12 million in net overpayments for the care of 18,090 patients sampled, though the actual losses to taxpayers are likely …
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Health Care Advisory : CMS Reverses Course on Medicare …
(6 days ago) WebAn overpayment retained past the 60-day deadline is an obligation that could lead to reverse FCA liability. The ACA did not define what it meant to “identify” an …
https://www.alston.com/en/insights/publications/2022/12/health-care-advisory-cms-reverses-course
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Overpayments to Medicare Advantage plans exceed $75 billion …
(6 days ago) WebMedicare Advantage plans earn profit or incur loss based on enrollees' healthcare service utilization. MedPAC estimates that Medicare Advantage plans will be …
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Overpayments To Medicare Advantage Insurers Now Top - KFF …
(3 days ago) WebOverpayments to insurers administering Medicare Advantage plans now exceed $75 billion a year due to aggressive coding of patients' health conditions and …
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It took CMS four years to finalize its 60-day overpayment rule.
(6 days ago) WebCMS recently published its final “60 Day Rule” for reporting and refunding Medicare Parts A and B overpayments. Although it took four years between the …
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Cyberattack Paralyzes the Largest US Health Care Payment System …
(4 days ago) WebThe hacking shut down the nation’s biggest health care payment system, causing financial chaos that affected a broad spectrum ranging from large hospitals to …
https://www.nytimes.com/2024/03/05/health/cyberattack-healthcare-cash.html
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UnitedHealth Group loses in overpayments case AHA News
(7 days ago) WebThe U.S. Court of Appeals for the District of Columbia Circuit reversed a 2018 district court decision in favor of UnitedHealth Group, rejecting the insurer’s claims …
https://www.aha.org/news/headline/2021-08-16-unitedhealth-group-loses-overpayments-case
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UnitedHealthcare loses Medicare Advantage overpayment suit
(2 days ago) WebThe overpayment rule, created in 2010 as a provision of the Affordable Care Act and promulgated by CMS through rulemaking in 2014, is part of the …
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‘Until it is fixed’: Congress ramps up action - Health News Florida
(Just Now) WebThe Finance Committee oversees Social Security. Wyden spoke with KFF Health News and CMG on Dec. 12 in his first interview with the news organizations …
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MA plans were overpaid $9.3B annually from 2017 to 2020, study …
(Just Now) WebOverall, MA plans were overpaid by an average of $9.3 billion per year between 2017 and 2020. As seniors increasingly turn to MA plans, setting payment …
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UnitedHealth loses Medicare Advantage overpayment argument …
(8 days ago) WebCMS paid an estimated $16.2 billion for unsupported diagnoses in 2016, audits of Medicare Advantage plan data show. UnitedHealthcare has lost its argument …
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‘Perpetuity Of Uncertainty’: Home Health Providers Await Another …
(4 days ago) WebBut CMS is also attempting to claw back “overpayments” it made to providers in 2020-2022: $873 million in 2020, $1.2 billion in 2021 and $1.4 billion in 2022. Home …
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Overpayment, appeal letters going paperless on May 12
(Just Now) WebBeginning May 12, we’ll no longer mail overpayment and appeal decision letters sent directly by UnitedHealthcare* to network medical health care professionals …
https://www.uhcprovider.com/en/resource-library/news/2023/medicaid-overpayment-appeal-paperless.html
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KFF Health News and Cox Media Group’s Series on Social Security
(8 days ago) WebKFF Health News and Cox Media Group Television Stations announced today that they received the 2024 Goldsmith Awards’ inaugural Government Reporting Prize …
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California retiree slams Social Security for ‘picking on the old …
(6 days ago) WebShe fought back — and won. Vicki Estrada was 10 years into her retirement when she received an overpayment notice from the Social Security Administration …
https://finance.yahoo.com/news/california-retiree-slams-social-security-102200610.html
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Did Obamacare ‘massively’ increase the cost of health care?
(1 days ago) Web2020-2023: 8 percent increase. Put another way, if total costs had continued on the same pre-ACA path, they would now be about $60,000 — or double the current level. …
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Cyberattack disrupts operations at major US health care network
(6 days ago) WebCNN —. A cyberattack has disrupted “clinical operations” at major health care nonprofit Ascension, forcing it to take steps to minimize any impact to patient care, …
https://www.cnn.com/2024/05/08/tech/cyberattack-disrupts-healthcare-network/index.html
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Mass. health leaders concerned about effects of Steward - WBUR
(4 days ago) WebMay 15, 2024. Deborah Becker. A sign at Holy Family Hospital, a Steward hospital in Haverhill, Mass. (Robin Lubbock/WBUR) State health officials on Wednesday …
https://www.wbur.org/news/2024/05/15/massachusetts-health-care-steward-care-concerns
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Baldwin's claim about her Affordable Care Act role is mostly true
(3 days ago) WebObama signed the Affordable Care Act March 23, 2010, Kominski said, and the provision to allow young people under 26 to stay on their parents’ health insurance …
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Ascension Health, largest Catholic hospital chain in the US, hit by
(2 days ago) WebAscension Health, largest Catholic hospital chain in the U.S., hit by cyberattack, disrupting patient care. Kan. Sarah Jane Tribble / Kaiser Health News …
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California's Medicaid experiment, CalAIM, leans on nonprofits to …
(1 days ago) WebFor instance, L.A. Care Health Plan, the largest Medi-Cal insurer in California, has given $66 million to community organizations for hiring and other CalAIM needs, said …
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NJ hospitals: Bergen New Bridge earns an A for safety
(2 days ago) Web0:00. 2:36. Bergen New Bridge Medical Center in Paramus was one of 30 New Jersey hospitals to earn a top grade in the semiannual hospital safety ratings …
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Social Security Overpays Billions to People, Many on Disability.
(2 days ago) WebBut trying to resolve an overpayment involves plunging into a “Kafkaesque minefield,” said Darcy Milburn, director of Social Security and health care policy at the …
https://kffhealthnews.org/news/article/social-security-overpayments-investigation/
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Cyberattack forces major US health care network to divert - CNN
(9 days ago) WebCNN —. A major US health care system said Thursday that it is diverting ambulances from “several” of its hospitals following a cyberattack this week. The …
https://www.cnn.com/2024/05/10/tech/cyberattack-ascension-ambulances-hospitals/index.html
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DOJ announces task force on health care monopolies and …
(6 days ago) WebMay 10, 2024 - 02:20 PM. The Department of Justice May 9 announced the formation of a task force focusing on competition concerns in health care. The unit, the …
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Steward Health Care files for Chapter 11 bankruptcy - CBS Boston
(7 days ago) WebLast year, CBS News found Steward redirected money away from hospital operations by selling off the real estate of San Antonio's Texas Vista Medical Center …
https://www.cbsnews.com/boston/news/steward-health-care-bankruptcy/
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Federal Register, Volume 89 Issue 97 (Friday, May 17, 2024)
(9 days ago) Web[Federal Register Volume 89, Number 97 (Friday, May 17, 2024)] [Proposed Rules] [Pages 43518-43634] From the Federal Register Online via the Government …
https://www.govinfo.gov/content/pkg/FR-2024-05-17/html/2024-09989.htm
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Government knew repayment demands left carers poorer - Yahoo …
(1 days ago) WebOfficial statistics show that 1,377,000 people currently claim Carer's Allowance in Great Britain. An overpayment rate of 3% as recorded by the survey suggests around …
https://news.yahoo.com/news/government-knew-repayment-demands-left-173012432.html
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Biden-Harris Administration Announces Maternal Mental Health …
(5 days ago) WebThe U.S. Department of Health and Human Services (HHS) announced the release of a national strategy today, with recommendations developed by the Task Force …
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State of New Jersey
(4 days ago) WebThe mission of the Division of Consumer Affairs, within the Department of Law and Public Safety, is to protect the public from fraud, deceit, misrepresentation and …
https://www.nj.gov/oag/newsreleases20/pr20200811c.html
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Cox Media Group and KFF Health News named finalist for - Yahoo
(8 days ago) WebThu, May 16, 2024, 5:56 PM EDT · 2 min read. The Cox Media Group (CMG) investigative team and KFF Health News were recognized as a finalist for the Pulitzer …
https://www.yahoo.com/news/cox-media-group-kff-health-215609516.html
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