3+ hour, 59+ min ago  (357+ words) A former Aetna risk-adjustment coding auditor, suing on behalf of the federal government, alleged Aetna was paid an inflated monthly payment amount by the Centers for Medicare & Medicaid Services (CMS) as a result of the alleged upcoding. Under the terms…...

2+ mon, 3+ week ago  (355+ words) The AMA'Competition in Health Insurance'report'released Dec. 16, 2025,'looked at'384 metro areas across the U.S., finding that[i]n'91% of markets, at least one insurer had a market share of at least 30%,'and'in 47% of markets, one insurer had'a'share'of 50% or more." For PPO product…...