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The Latest Breaking News from Medicare Advantage

Hidden audits reveal millions in overcharges by Medicare Advantage plans

Taxpayers footed the bill for care that should have cost far less, according to records released under the Freedom of Information Act. The U.S. government may charge insurers $650 million as a result.

WEKU

The Top 10 HSA Misconceptions, And 2023 HSA Rules

An HSA account offers many advantages, but HSA rules are dense and misconceptions abound about how the plans work and how to use them. Here are the facts.

Investors Business Daily

5 mistakes you’re making with Medicare open enrollment

Millions of retirees are in the thick of Medicare open enrollment, which runs from Oct. 15 to Dec. 7, but many find the process challenging

The Independent UK

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Medicare phone scammers want to slash your benefits and leave you with fewer in-network providers

You answer the phone and you’re greeted by a weird tone, followed by a few seconds of silence.

Tribune News Service

Medicare enrollees warned about deceptive marketing schemes

With Medicare’s open enrollment underway, health experts are warning older adults about an uptick in misleading marketing tactics that might lead some to sign up for Medicare Advantage plans that don’t cover their doctors or prescriptions and drive up their out-of-pocket costs

The Independent UK

This open enrollment season, look out for health insurance that seems too good to be true

It took nearly a year for Kelly Macauley to realize the health plan she bought while shopping for insurance coverage last October was not, in fact, insurance. Sure, red flags popped up along the way, but when she called to complain, she said, she was met with explanations that sounded…

Tribune News Service

Medicare Open Enrollment Occurs Annually from October to December — Here's What You Need to Know

Medicare open enrollment is underway. Here's what you need to get done.

Kiplinger

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Nursing home surprise: Advantage plans may shorten stays to less time than Medicare covers

After 11 days in a St. Paul, Minnesota, skilled nursing facility recuperating from a fall, Paula Christopherson, 97, was told by her insurer that she should return home.

Tribune News Service

In major retreat, Bright Health halts individual health insurance coverage

Bright Health Group will end individual and family health insurance coverage and reduce its Medicare Advantage coverage to just two states, steps that will cut its revenue in half.

Tribune News Service

UNH Stock Gaps Up As UnitedHealth Earnings Top, Outlook Hiked, Growth Accelerates

UnitedHealth earnings beat, led by Optum Health, as the Dow Jones giant kicks off health insurers' results. UNH stock rose Friday.

Investors Business Daily

How to change Medicare plans — and why you might want to

Medicare open enrollment starts soon, but 7 in 10 Medicare beneficiaries say they don’t compare Medicare plans during this period, which stretches from Oct. 15 to Dec. 7

The Independent UK

Nursing home surprise: Medicare Advantage plans covering less time than Medicare covers

Health care providers, nursing home representatives and patient advocates say Medicare Advantage plans increasingly are ending members’ coverage for nursing home and rehabilitation services before patients are healthy enough to go home.

Chicago Sun-Times

Exercise caution with zero-premium Medicare Advantage plans

Health insurers will flood the Medicare Advantage market again this fall with enticing offers of plans that have no monthly price tag

The Independent UK

Walmart, UnitedHealth Group announce a partnership on clinic care and Medicare Advantage coverage

UnitedHealth Group and Walmart on Wednesday announced a 10-year health care partnership that will begin with enhancements for 15 clinics in the southeast U.S. as well as the launch of a co-branded Medicare Advantage health plan.

Tribune News Service

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Investors Business Daily

UnitedHealth Earnings Beat; UNH Stock Clears Buy Point

UnitedHealth earnings easily beat Q2 estimates and raised guidance. UNH stock moved above a buy point.

Chicago Sun-Times

Medicare Advantage plans face criticism at congressional hearing for denying care, overcharging

Witnesses sharply criticized the fast-growing health plans, citing audits and other reports that described plans denying access to health care.

Tribune News Service

Government watchdogs attack Medicare Advantage for denying care and overcharging

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel this week.

Investors Business Daily

IBD Stock Of The Day Hails From Same Group For 3rd Day: Humana Flashes Buy Signals

Humana is the latest health insurer to be Stock Of The Day. HUM stock cleared early entries as it nears an official buy point from a long base.

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Investors Business Daily

Easy Ways To Handle Health Costs In Retirement If You Plan Now

When estimating how much they'll spend in retirement, most people focus on monthly bills. But they forget health care costs.

Tribune News Service

Why so slow? Legislators take on insurers’ delays in approving prescribed treatments

Andrew Bade, who was diagnosed with Type 1 diabetes nearly two decades ago, is accustomed to all the medical gear he needs to keep his blood sugar under control. His insulin pump contains a disposable insulin cartridge, and a plastic tubing system with an adhesive patch keeps in place the…

Benzinga

EXCLUSIVE: Skylight Health To Buy NeighborMD To Expand In Florida, Enter Medicare Advantage Global Risk

Skylight Health Group Inc (NASDAQ: SLHG) has agreed to acquire NeighborMD (NMD) for $8 million. Skylight has also arranged a $20 million debt line facility with a New York-based credit lender.

Investors Business Daily

Exxon Mobil, General Dynamics Lead Five Stocks Near Buy Points Without This Big Risk

Exxon Mobil and General Dynamics are among five stocks near buy points from strong groups that have already reported earnings.

Chicago Sun-Times

Medicare Advantage plans denied nearly 1 in 5 claims that should have been paid, HHS finds

The agency’s inspector general found that private Medicare Advantage plans denied 18% of claims allowed under Medicare rules —often because of the insurers’ errors in processing claims.

Benzinga

Humana Q1 Earnings Beats Expectations, Raises FY22 Profit Guidance

Humana Inc (NYSE:HUM) has posted Q1 adjusted sales of $24.08 billion, beating the consensus of $23.51 billion. The benefits expense ratio increased from 86.4% to 85.9%, and the operating cost ratio increased from 12% to 9.7%. Humana posted an adjusted EPS of $8.04, beating the consensus of $6.78 and $6.38 posted a…

Investors Business Daily

UnitedHealth Earnings Top Estimates On Optum Expansion; UNH Stock Rises

UnitedHealth earnings topped views, fueled by its Optum unit. The Dow Jones component raised full-year guidance. UNH stock rose slightly.

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