Medicare & Medicaid

Executives say the top reason for launching a Medicare Advantage plan is the opportunity to capture more value.

Expansion benefits include care quality and a reduction in uncompensated care costs.

GAO reviewed 27 federal and state audits and investigations, identified roughly $68 million in overpayments and unallowable costs.

Medicare's cost-containment strategy has been rolled out on a trial basis for more than 2,000 U.S. hospitals and new evidence suggests there's a reason CMS should continue it.

The trustees' report shows Part D spending projections are lower than what was projected last year.

Medicaid expansion has resulted in more people having health insurance among all potentially eligible individuals, regardless of race, age, marital status or income.

Even after taking into account manufacturer rebates, spending still increased more than 60 percent and the ranks of beneficiaries paying $2,000 out-of-pocket a year doubled, the Office of the Inspector General says.

The deal boosts company's government-sponsored, managed care Medicaid and Medicare Advantage, Part D businesses and enhances its pharmacy benefit manager platform.

States with at least 85% of their Medicaid population in managed care could implement nominal payment cuts without ensuring providers will assure access to care.

Plans may be losing out on millions in missing the 20- to 40-percent of buyers who are not ready to sign up for Medicare at age 65.