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Latest Articles
10 SUD Providers Sue Cigna for $12.7M in Underpayments
20+ min ago (360+ words) Plaintiff organizations named in the suit include: TML Recovery LLC, Encinitas Detox, Cardiff Health Services, Carlsbad Mental Health Services, Harbor Health, IMS Services, La Costa Recovery, San Diego Mental Health, Southern California Recovery Centers Oceanside and Sunray Services. This was…...
Humana CEO Visits Canal Pointe as Program Grows
4+ hour, 42+ min ago (278+ words) NEW ORLEANS – Humana President and CEO Jim Rechtin visited Canal Pointe, New Orleans’ only family-centered residential substance use treatment and recovery facility, on Aug. 20 to see the program supported by a $1 million investment from the Humana Foundation. Operated by Volunteers…...
Medicare Monday: August 24th, 2026
4+ hour, 26+ min ago (75+ words) NewsChannel20 Sean Grayson, the Former Sangamon County Deputy Convicted of Killing Sonya Massey, Has Died in Prison Truck and Tractor Pulls Have Been Cancelled for Monday at the Illinois State Fair Man Arrested on Multiple Charges After Traffic Stop, Including Solicitation…...
Turning 65 in Virginia? Why Medicare advisory firms make enrollment easier
1+ hour, 3+ min ago (555+ words) Turning 65 does not always mean a person should immediately enroll in every part of Medicare. Someone already receiving Social Security retirement benefits is generally enrolled automatically in Original Medicare. People who have not started receiving those benefits usually need to…...
Health insurers are dropping Medicare Advantage plans — and nearly 3 million older Americans will be affected
1+ hour, 25+ min ago (1457+ words) Thousands of retirees are receiving notification that their Medicare Advantage plan won't be available next year, and there's nothing they can do about it except find another option. This year alone, 1 in 10 Medicare Advantage policyholders face forced disenrollment, according to…...
The Sixth Circuit Revives the Medicare Waiver of Liability for Overpayments and Appeals
1+ hour, 28+ min ago (120+ words) When a provider or supplier of services bills the Medicare program and receives payment, but at a later date the program audits the claim and denies it, can the provider or supplier be relieved of any financial liability if it…...
UnitedHealth Stock's Biggest Risk Sits In The Commercial Book
3+ hour, 59+ min ago (450+ words) Yahoo Finance Oops, something went wrong U.S. markets close in 36m UnitedHealth Stock's Biggest Risk Sits In The Commercial Book Medicare's improvement is real but not a turn in cost trend, while commercial costs keep running higher and the margin fix there…...
Monogram Health to pay $2.4 million in Medicare Advantage false claims settlement
2+ hour, 46+ min ago (283+ words) Traders Union Monogram Health to pay $2.4 million in Medicare Advantage false claims settlement Federal scrutiny of Medicare Advantage risk-adjustment practices is continuing as regulators focus on how diagnosis coding affects payments to private health plans. Monogram Health, based in Tennessee,…...
Highmark Health’s insurance unit powers first-half turnaround
3+ hour, 19+ min ago (17+ words) Modern Healthcare Highmark Healthâs insurance unit powers first-half turnaround...
Why Medicare Advantage plans are shrinking in New Hampshire
3+ hour, 45+ min ago (504+ words) Many people my age are living in continuing care or assisted living retirement communities, with younger family members or with home healthcare services. My husband and I discussed our future plans at length, always in consideration of our ages and…...