2+ hour, 29+ min ago  (655+ words) HEALTH CARE un-covered Government Watchdog Agency Finds that Every High-Risk Acute Stroke Diagnosis Submitted by Medicare Advantage Insurers in Audit Was Upcoded A new federal audit found Medicare Advantage insurers received hundreds of millions in taxpayer dollars for stroke diagnoses…...

1+ week, 6+ day ago  (407+ words) Paul Markovich, CEO of the parent company of Blue Shield of California, where I worked for a dozen years, has a message for everyone who supports reforming health care to put people over profits: he's our champion. In a campaign-style…...

4+ week, 1+ hour ago  (784+ words) Zack Cooper argued this week in The New York Times that Americans may be blaming the wrong culprit for rising premiums. In his view, the bigger driver is hospital market power'fueled by years of consolidation that policymakers have done little…...

1+ mon, 4+ day ago  (664+ words) On the morning of December 4, 2024, Brian Thompson, the CEO of United Healthcare, was shot and killed outside a Manhattan hotel. What happened next stunned the health insurance industry " and, I suspect, haunts its communications teams to this day. The pledges…...

1+ mon, 1+ week ago  (995+ words) I have to chime in, probably not that relevant to the point made in the post, that at least KFF (the Kaiser Family Foundation) provides lots of good information on health care and health insurance and the ACA, etc. (BTW,…...

1+ mon, 2+ week ago  (760+ words) When I was Cigna's communications chief, one of the ideas I had to sell the hardest was that high-deductible health plans tied to health savings accounts would fix the U. S. health care system once and for all by giving Americans the…...

1+ mon, 2+ week ago  (175+ words) Today, the Center for Health and Democracy Education Fund is launching a new tool, the Health Insurance Influence Tracker, as part of our ongoing work examining how giant health insurers have skewed the U. S. health care system away from working people…...

1+ mon, 3+ week ago  (742+ words) The paper that exposed Medicare Advantage's $50 billion overbilling scheme is now urging the government to make it the default for every senior in America. During my two decades working for Big Insurance, I learned what industry spin looks like. I…...

1+ mon, 3+ week ago  (337+ words) People are having to choose between going to the hospital and staying home and dying. Because at least my family won't be burdened with a lawsuit if I die at home." That's not a line from a dystopian novel. It's…...

1+ mon, 3+ week ago  (391+ words) Just minutes after the New York Stock Exchange closed yesterday afternoon, the Trump administration announced that it will pay private Medicare Advantage insurers billions of dollars more next year than it had suggested just a few months ago. Trump's Centers…...