In the South Florida case, government lawyers have been investigating Humana, Inc. for several years as they try to determine if the company and some of its medical clinics manipulated the complex Medicare Advantage billing system. Humana says it is cooperating with the investigation. Humana also faces other investigations into allegations that it overbilled the … Continue reading
Giant health insurer Humana Inc. faces multiple federal investigations into allegations that it overbilled the government for treating elderly patients enrolled in its Medicare Advantage plans, court records reveal. The status of the investigations is not clear, but they apparently involve several branches of the Justice Department. The U.S. Attorney’s Office in Miami wrote in … Continue reading
HAMDEN — About a dozen elderly people gathered in a conference room at Hamden Government Center on Friday to talk about their anger and frustration since UnitedHealthcare announced last fall it would cut thousands of doctors from its Medicare Advantage network. They were further incensed when UnitedHealthcare and Yale-New Haven Health System did not reach … Continue reading
The largest independent physician group in Central Ohio will get bonus payments for keeping the frailest patients well and out of the hospital under a new deal with five private Medicare Advantage plans. Central Ohio Primary Care Physicians Inc. will get a fixed monthly payment for patients in the pilot program, plus a share of … Continue reading
Humana Insurance agrees to $4.5 million settlement and change in business practices Jefferson City, Mo. – The Missouri Department of Insurance today announced that a regulatory settlement agreement has been reached with Humana Insurance Co. Missouri regulators led a multistate market conduct investigation of Humana in collaboration with regulators in Mississippi and Wisconsin. In the … Continue reading
February 14, 2014 4:38 pm Humana Insurance Co. has agreed to pay $1.8 million in fines and $2.7 million in restitution to Missouri and other states resolve complaints about its sale of small group health insurance. The Missouri Department of Insurance alleged that Humana required small employers to buy group life insurance in order to … Continue reading
A Breach of Trust 