Tag: Medicare

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Starting the coming year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to deal with cancer, rheumatoid arthritis, macular degeneration along with other serious diseases. Under the brand new rules, these private Medicare insurance plans could require patients to try cheaper drugs first. If those are not […]

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Since the sanctions began, Medicare has evaluated every year rates for readmitted patients who had originally been treated for heart failure, heart attacks and pneumonia. And contains reduced its payments to more than half of hospitals according to those rates. The evaluations have since expanded to pay for chronic lung disease, hip and knee replacements […]

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One of the nation's largest dialysis providers pays $270 million to stay a whistleblower's allegation that it helped Medicare Advantage insurance plans cheat the government for quite some time. The settlement by HealthCare Partners Holdings LLC, a part of giant dialysis company DaVita Inc., is considered to become the largest to date involving allegations that […]