DOJ Sues MA Insurers, Brokers Over Alleged Kickbacks

The Department of Justice has filed a complaint against Aetna, Elevance Health, Humana, eHealth, GoHealth, and SelectQuote, alleging that the insurers paid illegal kickbacks to brokers to boost enrollment in their Medicare Advantage plans. The post DOJ Sues MA Insurers, Brokers Over Alleged Kickbacks appeared first on MedCity News.

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5 strategies on how to increase outpatient revenue

The growing shift from inpatient to outpatient care continues. The U.S. ambulatory services market was estimated at USD 289.5 billion in 2023and is projected to grow at a CAGR of 5.38% from 2024 to 2030. ADeloitte study notes that the gap between inpatient and outpatient revenue has been closing for two decades. But what’s driving…

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Silence in Sikeston: Hush, Fix Your Face

SIKESTON, Mo. — For residents of Sikeston, as for Black Americans around the country, speaking openly about experiences with racial violence can be taboo and, in some cases, forbidden. As a child, Larry McClellon’s mother told him not to ask too many questions about the 1942 lynching of Cleo Wright in their hometown of Sikeston….

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Medigap May Be Elusive for Medicare Beneficiaries with Pre-Existing Conditions

This issue brief analyzes federal and state guaranteed issue rules and how they impact beneficiaries’ access to Medigap, including the implications for Medicare beneficiaries with pre-existing conditions and those under age 65 with long-term disabilities. This brief also explores a recently finalized rule: Nondiscrimination in Health Programs and Activities regarding Section 1557 of the Affordable…

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