To Save Medicare Advantage We Must Reform It

Health Alliance to exit Medicare Advantage market after 2025

Carle Health has concluded its comprehensive strategic and financial analysis and announced Health Alliance and FirstCarolinaCare will exit all lines of business—including Medicare Advantage—by Dec. 31, 2025.

Profit over patients? Medicare insurers accused of bribing brokers

A blockbuster lawsuit from the federal Department of Justice alleges that insurers Aetna, Elevance Health (formerly Anthem), and Humana paid “hundreds of millions of dollars in kickbacks” to large insurance brokerages eHealth, GoHealth, and SelectQuote. The payments, made from 2016 to at least 2021, were incentives to steer patients into the insurer’s Medicare Advantage plans, the lawsuit alleges, while discouraging enrollment of potentially mor…

To save Medicare Advantage we must reform it

Medicare Advantage, once a highly innovative and successful health care option providing unique benefit designs for older Americans, is becoming increasingly costly and unstable – and will now be under the microscope in a criminal investigation of one of its…

Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ to Brokers

A blockbuster lawsuit from the federal Department of Justice alleges that insurers Aetna, Elevance Health (formerly Anthem), and Humana paid “hundreds of millions of dollars in kickbacks” to large insurance brokerages eHealth, GoHealth, and SelectQuote. The payments, made from 2016 to at least 2021, were incentives to steer patients into the insurer’s Medicare Advantage plans, the lawsuit alleges, while discouraging enrollment of potentially mor…

Department of Justice Charges Two Men in Alleged $227,000,000 Medicare Scam - The Daily Hodl

The U.S. Department of Justice (DOJ) is charging two men with running a $227 million Medicare scheme. According to a new press release, Syed Murtuza Kablazada, 34, of Arlington Heights, Illinois, and Syed Mehdi Hussain, 32, of Carol Stream, Illinois, owned and operated medical labs that submitted fake Medicare claims for COVID-19 test kit reimbursement that were allegedly never provided to beneficiaries. As alleged in court documents, the defend…

Department of Justice Charges Two Men in Alleged $227,000,000 Medicare Scam

The U.S. Department of Justice (DOJ) is charging two men with running a $227 million Medicare scheme. According to a new press release , Syed Murtuza Kablazada, 34, of Arlington Heights, Illinois, and Syed Mehdi Hussain, 32, of Carol Stream, Illinois, owned and operated medical labs that submitted f...