Insurers Bilk Medicare for $50 Billion to Treat Fictitious Illnesses

Private insurance firms running Medicare Advantage programs have been overcharging the federal government billions of dollars by making patients look sicker than they really are, according to a report in The Wall Street Journal on Monday.

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Healthcare.Gov Managers Expect To Work With 90,000 Agents

The federal agency that oversees HealthCare.gov now expects to work with about 90,000 agents and brokers each year, up from 54,000 in 2021.

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The Supreme Court Just Limited Federal Power. Healthcare Is Feeling The Shock Waves

A landmark Supreme Court decision that reins in federal agencies’ authority is expected to hold dramatic consequences for the nation’s healthcare system, calling into question government rules on anything from consumer protections for patients to drug safety to nursing home care. The June 28 decision overturns a 1984 precedent that said courts should give deference ...

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Preparing Your Business For An ACA Audit

The Internal Revenue Service (IRS) has recently been ramping up its enforcement of employer requirements related to the Affordable Care Act (ACA), and the penalties for non-compliance can sometimes be severe. Employers with at least 50 full-time employees, considered an Applicable Large Employer (ALE), are subject to Employer Shared Responsibility Provisions of the ACA. These provisions require organizations considered ...

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Tech Team Updates For July 2024

We’re offering more Tech Team Updates this month on news you can use concerning Ease and Employee Navigator. It’s the online enrollment platform for health insurance brokers working in the 2-250 employee marketplace. Employee Navigator Update: As you know, Ease is being acquired by and integrated with Employee Navigator. The merged organization will support more than ...

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As Brick-And-Mortar Drugstores Struggle, Amazon Doubles Down On Revamping The Pharmacy Experience

Amazon is betting big on its pharmacy arm, with the retail giant aiming to bring its focus on ease of use for consumers to the prescription drug space. The company first unveiled Amazon Pharmacy in late 2020 on the heels of its 2018 acquisition of online pharmacy PillPack. John Love, president of Amazon Pharmacy, told ...

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