After the outpouring of public anger at the health insurance industry following the shooting of the United Healthcare CEO, the Cigna Group has announced a new multi-year effort to improve accountability, transparency and customer support. Public outrage over insurer...
The Kaiser Family Foundation (KFF) has released a report on claims denials and appeals in the ACA (Affordable Care Act) marketplace plans in 2023. ACA insurers denied 1 in 5 medical claims in 2023, the highest rate since 2015. UnitedHealth Group had the highest...
On January 1, 2025, a 2.83% Medicare reimbursement cut went into effect for physicians due to a rule finalized by the Centers for Medicare & Medicaid Services (CMS) in November of 2024. CMS also estimates a projected 3.6% increase in practice cost expenses for...
Attorney Knicole Emanuel has an interesting blog post about DOGE and CMS. CMS has over 6,000 employees and controls $1.5 trillion in spending (just for 2024). DOGE will be looking for waste by analyzing a lot of data. This may reduce fraud, but as we have already...
Check out attorney Knicole Emanuel’s recent blog, “Defending Against Medicare and Medicaid Audits: A Guide for Healthcare Providers.” She notes that, “Recent statistics show that CMS, through its contractors, conducted over 300,000 audits in recent...
