Health Care

Home Is Where The Money Is For Medicare Advantage Plans

Some of the senior citizens who called Arizona insurance agent Denise Early wondered why their Medicare Advantage health plans were eager to send a doctor to visit them at home. A few worried that the offer might be a scam. After all, they asked, how many doctors make house calls these days? More than people […]

Health Insurers Have Their Way With Regulators

Four years ago, Medicare auditors came to an alarming conclusion: the federal government shouldn’t have paid a half-dozen insurance plans hundreds of millions of dollars to treat seniors in especially poor health. The findings signaled that billing errors could be deeply rooted within private Medicare Advantage plans — which contract with the federal government to […]

Why Medicare Advantage Costs Taxpayers Billions More Than It Should

In Rochester, New York, a Medicare plan was paid $41 million to treat people with serious diseases — even though the plan couldn’t prove the patients in fact had those diseases. These health plans and hundreds of others are part of Medicare Advantage, a program created by Congress in 2003 to help stabilize health care […]

Medicaid Covers All That? It’s The Backstop Of America’s Ailing Health System

When high levels of lead were discovered in the public water system in Flint, Mich., in 2015, Medicaid stepped in to help thousands of children get tested for poisoning and receive care. When disabled children need to get to doctors’ appointments — either across town or hundreds of miles away — Medicaid pays for their transportation. […]