Tag:
Medical Claims
Latest Headlines
Latest Headlines
Feds probe Humana on claims, doc loans
Humana is the subject of an investigation by the U.S. Justice Department regarding its coding of medical claims and loans to physicians in South Florida. Humana disclosed in a recent regulatory
Aetna's Q1 earnings dive 13% with higher claims costs
Aetna's first quarter revenue plunged 13 percent--its largest drop in almost three years--because of high claims and administrative costs. The third largest health insurer said Thursday that it made
BCBSNC exclusive: Overpayment allegations inaccurate
Blue Cross Blue Shield of North Carolina (BCBSNC) has been the talk of the town since a state auditor report claimed the insurer's inefficient fraud recovery efforts led to the State Health Plan
BCBSNC overpaid $49M in claims, didn't try to recoup funds
Blue Cross Blue Shield of North Carolina inefficiently handles fraud recovery efforts for North Carolina's State Health Plan, causing the insurance plan for state employees and retirees to overpay
Changing enrollment linked to WellPoint profit drop, Aetna revenue dip
WellPoint's ( NYSE: WLP ) second quarter profit fell 3 percent, primarily because of higher-than-expected medical costs for Northern California seniors enrolled in Medicare Advantage plans, according
Humana to offer wellness incentives program
Humana is teaming with the South African company Discovery Holdings to offer a wellness program aimed at reducing its medical claims and lowering out-of-pocket health costs for its medical members,
How mind-body program reduces stress, healthcare costs
Insurers can save money if their members participate in a mind-body stress reduction program. At least that's the preliminary conclusion from a recent study conducted by Aetna in which participants
Humana's Q4 earnings fall 57 percent
Humana's earnings fell 57 percent amid increased expenses, including acquisition-related costs, as it also saw medical claims costs rise. It reported a profit of $107.3 million, or 63 cents a share,
AHA calls for changes to MLR rules
The American Hospital Association has asked the U.S. Department of Health and Human Services for a change in the final rules associated with new minimum medical-loss ratios required under the Patient
UnitedHealth boosted revenue, enrollment in 4Q
UnitedHealth Group ( NYSE: UNH ) posted a higher-than-expected fourth-quarter profit as enrollment grew across its plans and Americans used fewer medical services. If these fourth quarter results are
