Wikipedia -WSS

Wikipedia

author：knowledge 2025-08-08 08:10:13 - browse：611

Silhouetted hands passing money. -- health business coverage from STAT — Adobe

The federal government has started penalizing Medicare Advantage insurers that have one common, glaring problem: Faulty technology systems are leading to people paying more for care and coverage than they should be.

The Centers for Medicare and Medicaid Services fined three different Medicare Advantage plans this month, each one getting dinged differently for the way they overcharged their members. The fines are minuscule for the insurance companies — roughly equivalent to some pennies under a couch cushion — but they could serve as warnings for companies to clean up their compliance and IT infrastructure before regulators knock on their doors again.

“Just the knowledge that CMS will be back one day and that you better have this fixed, I think, does have a sentinel effect,” said Philip Legendy, an attorney at Ballard Spahr who represents Medicare Advantage plans. “And if you’re doing it over and over, it could be viewed as intentional.”

Get unlimited access to award-winning journalism and exclusive events.

Subscribe Log In

Previous article： Anesthesiologist group: stop taking Ozempic before surgery
Next article： The Harvard botanist who searched for psychedelics in the Amazon

WSS

Why scientists need input from humanists on sensitive research

Community Health Systems hospitals under DOJ investigation

Amid AI frenzy, a top HHS official's quest to create safeguards

NIH study of ME/CFS points to clear biological hallmarks

Community Health Systems hospitals under DOJ investigation

Amylyx ALS drug fails trial: Relyvrio patients react with fear, worry

focus

Wikipedia

focus

Duchenne breakthrough therapy leaves behind pioneering families

How many hemophilia patients actually want gene therapy?

Cancer drug shortages should be causing more outrage

Change Healthcare outage fallout shows need for new oversight

Hepatitis C has a cure — but many Americans still lack access to it

Amid AI frenzy, a top HHS official's quest to create safeguards

Anesthesiologist group: stop taking Ozempic before surgery

R.J. Reynolds sues to protect 'crisp' cigs from California flavor ban

Duchenne breakthrough therapy leaves behind pioneering families

In utero gene editing: an explainer

hotspot

Why scientists need input from humanists on sensitive research

President Biden's budget: Here's what you might have missed

The Readout: Abbvie and Humira, CRISPR in utero, Annovis Bio

Readout Newsletter: CAR

A new nitrogen execution bill also undermines medical licensing

Readout Newsletter: Alnylam, Celldex, Roche, Zealand Pharma

leisure time

focus

knowledge

focus