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Improper Medicare payments down $20.7B since 2014, CMS data show

FierceHealthIT

Improper Medicare payments down $20.7B since 2014, CMS data show. Tue, 11/16/2021 - 07:15.

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CMS appeals Medicare Advantage overpayment ruling

FierceHealthIT

A nuanced legal battle over Medicare Advantage overpayments rages on. CMS will appeal a September ruling invalidating a 2014 rule with huge implications for insurers, including UnitedHealth.

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Federal court nixes CMS overpayment rule, handing a big win to Medicare Advantage insurers

FierceHealthIT

judge invalidated a 2014 rule that required Medicare Advantage insurers to report and return overpayments associated with incorrect diagnosis codes. On Friday, a D.C. The ruling could have a huge impact on an ongoing case against UnitedHealth and a federal investigation into Anthem's MA plans.

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People Using Health Apps and Wearable Tech Most Likely Track Exercise and Heart Rate, Sleep and Weight – But Cost Is Still A Barrier

Health Populi

This has been a consistent health consumer sentiment for a long time: here’s how I covered PwC’s study on The Wearable Future back in 2014. ” As employers increasingly pay attention to worker wellness and population health, the enterprise-coverage vision that PwC began to quantify in 2014 is (finally) gaining traction.

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Medicare Advantage Organizations Overturned 75% of Their Denials

BHM Healthcare Solutions

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. The OIG’s report, released in September, found Medicare Advantage organizations overturned about 216,000 denials annually during the period.

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#WWBR Week of September 22, 2014

Chilmark Research

Medicare’s Pioneer program down to 19 ACOs after three more exit. “Although it was based on a small sample size, Kaufman Hall found inpatient utilization rates either unchanged or down for a majority of nonprofit hospitals through the first 2 quarters of 2014. And plenty of other great reading too. ” – Matt.

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One in Two Americans with Work-Based Insurance Worries That Healthcare Costs Could Lead to Bankruptcy

Health Populi

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. Health Populi’s Hot Points: U.S. households.