The record payment comes on the heels of another massive settlement for the nonprofit, adding to the hit on its already stressed bottom line.| Healthcare Dive
"We should be addressing this in a more serious fashion than we are," Sen. Bill Cassidy, R-La., said.| Healthcare Dive
The insurer paid vendors to conduct in-home visits with its members, then pressured the vendors to record high-value diagnoses that would lead to higher payments for Cigna, the DOJ alleges.| Healthcare Dive
Attempts to "defraud the program cannot continue and will be pursued," DOJ officials said in statement announcing the action against the California-based system.| Healthcare Dive
The figure is almost triple prior estimates, highlighting the need for payment reform to avoid overtaxing the Medicare system, researchers said.| Healthcare Dive
“Insurers are in effect denying Americans necessary care in order to fatten and pad their bottom lines, and that phenomenon is unacceptable,” Sen. Richard Blumenthal, D-Conn., said at a subcommittee hearing.| Healthcare Dive
Risk adjustment changes will now be phased in over three years, after payers pushed back on the proposed payment rule.| Healthcare Dive
Federal regulators have raised concerns about alleged payment abuses in the MA program for years, specifically for those tied to risk adjustments.| Healthcare Dive
The insurer said its employer segment no longer meets Humana’s long-term strategic plans.| Healthcare Dive
