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Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money. This story also ran on NPR. It can be republished for free. The Health and Human Services Office of Inspector General’s recommendation to repay, if finalized, would be “by far the largest” audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general. “This needs to come back to the federal government,” he said in an ...
Kaiser Health News
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Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money. This story also ran on NPR. It can be republished for free. The Health and Human Services Office of Inspector General’s recommendation to repay, if finalized, would be “by far the largest” audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general. “This [money] needs to come back to the federal government,” he sai...
California Healthline
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‘Explained by KHN’: Health Insurance Help in Covid Relief Law
The twists and turns of the American health system can sometimes leave people lost, confused and looking for answers. We’ve created a new video series — “Explained by KHN” — in which our correspondents and editors answer common health care and health policy questions. The $1.9 trillion covid relief package that President Joe Biden signed into law in March includes more money to help Americans pay their health insurance premiums for the next two years. KHN correspondent Emmarie Huetteman explains some of the changes that could help consumers. KHN (Kaiser Health News) is a national newsroom that...
Kaiser Health News
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‘Explained by KHN’: Health Insurance Help in Covid Relief Law
The twists and turns of the American health system can sometimes leave people lost, confused and looking for answers. We’ve created a new video series — “Explained by KHN” — in which our correspondents and editors answer common health care and health policy questions. The $1.9 trillion covid relief package that President Joe Biden signed into law in March includes more money to help Americans pay their health insurance premiums for the next two years. KHN correspondent Emmarie Huetteman explains some of the changes that could help consumers. This story was produced by KHN (Kaiser Health News),...
California Healthline
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Japan's Enshu Railway to form software development unit in Vietnam
HANOI, NNA - Japanese regional railway operator Enshu Railway Co. will set up a wholly owned software development subsidiary in Vietnam in July. The Hanoi-based unit, Entetsu Vietnam Co., will be capitalized at 30 million yen ($274,000) and start operations in August, the company, which also runs bus and other transportation services mainly in the Hamamatsu area in Shizuoka Prefecture, central Japan, said Thursday. Entetsu Vietnam will be engaged in developing web-based information technology systems and smartphone apps and creating websites in order for its parent to upgrade its services. Ens...
NNA Business News
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KHN’s ‘What the Health?’: Planning for Round Two
Can’t see the audio player? Click here to listen on SoundCloud. Congress is out of session, but that hasn’t stopped Democrats from planning their next round of health legislation. Together with President Joe Biden, they are looking at a broad array of possibilities, from allowing Medicare to negotiate drug prices to adding more benefits to the program to creating a government-funded “public option” insurance plan that consumers could choose. Meanwhile, despite financial incentives for states to expand Medicaid under the Affordable Care Act, the Wyoming legislature this week killed a nascent ef...
Kaiser Health News
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KHN’s ‘What the Health?’: Planning for Round Two
Can’t see the audio player? Click here to listen on SoundCloud. Congress is out of session, but that hasn’t stopped Democrats from planning their next round of health legislation. Together with President Joe Biden, they are looking at a broad array of possibilities, from allowing Medicare to negotiate drug prices to adding more benefits to the program to creating a government-funded “public option” insurance plan that consumers could choose. Meanwhile, despite financial incentives for states to expand Medicaid under the Affordable Care Act, the Wyoming legislature this week killed a nascent ef...
California Healthline
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Indiana’s Medicaid Expansion — Designed by Pence and Verma — Panned in Federal Report
Indiana’s Medicaid expansion — with its “personal responsibility” provisions that require enrollees to pay monthly premiums and manage health savings accounts — proved no better at improving health and access to care than other state expansions, a federally commissioned study found. Use Our Content It can be republished for free. Even when compared with states that did not expand Medicaid, Indiana showed only mixed results in improving the health of low-income residents, the report said. Indiana’s expansion program — known as the Healthy Indiana Plan — has been closely watched not just because...
Kaiser Health News
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In California, Blue Shield’s Vaccination Takeover Fixes What Wasn’t Broken
In California’s Mendocino County, public health officials and community clinics say they have hit their vaccination stride. This story also ran on The Mendocino Beacon. It can be republished for free. Despite the county’s remoteness and its largely rural population spread among wooded mountains, rugged coastline and idyllic vineyards, about 40% of eligible adults have received at least one dose of a covid-19 vaccine. But now they face renewed turbulence as health insurer Blue Shield of California takes over the state’s vaccine program with the mission of speeding up vaccinations. Instead of tr...
Kaiser Health News
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Indiana’s Medicaid Expansion — Designed by Pence and Verma — Panned in Federal Report
Indiana’s Medicaid expansion — with its “personal responsibility” provisions that require enrollees to pay monthly premiums and manage health savings accounts — proved no better at improving health and access to care than other state expansions, a federally commissioned study found. Use Our Content It can be republished for free. Even when compared with states that did not expand Medicaid, Indiana showed only mixed results in improving the health of low-income residents, the report said. Indiana’s expansion program — known as the Healthy Indiana Plan — has been closely watched not just because...
California Healthline
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