MLTC

Nursing home study raises questions on Medicare managed care networks

CHICAGO (Reuters) – Managed care is the hot trend in Medicare, with the number of seniors enrolled in Medicare Advantage plans projected to soar over the coming decade. These plans offer simplicity by combining all the different parts of Medicare into a single buying decision – and they can save you money. But before you […]

Rocky rollouts as states try Medicaid-managed long-term care

The national move to home and community-based care away from nursing homes has been widely supported by senior citizen, consumer and disability rights communities. Surveys show older Americans prefer receiving health care services at home instead of in institutional settings. In recent years nearly a million people with disabilities or conditions severe enough to qualify […]

UnitedHealth doctored medicare records, overbilled U.S. by $1 billion, feds claim

The Justice Department on Tuesday accused giant insurer UnitedHealth Group of overcharging the federal government by more than $1 billion through its Medicare Advantage plans. In a 79-page lawsuit filed in Los Angeles, the Justice Department alleged that the insurer made patients appear sicker than they were in order to collect higher Medicare payments than […]

How Private Insurers Rip Off Medicare Advantage for Billions of Dollars

Despite its successes in diversifying government health care coverage for seniors over the past 15 years, the Medicare Advantage managed-care program increasingly has come under attack for excessive and unscrupulous billing practices that are costing taxpayers billions of dollars. The Government Accountability Office (GAO), the premier non-partisan watchdog, has repeatedly complained of inadequate auditing by […]

Prioritizing these three things will improve your life — and maybe even save it

VANCOUVER — Want to live longer, enjoy life more and actually find that elusive happiness? Among the dozens of big ideas shared this week at the international TED conference — from a robot that could outperform students on college exams to an ultraviolet light that could kill superbugs — were some simpler, almost obvious, life improvements […]