Kaiser Permanente just paid $556 million in the largest Medicare Advantage fraud settlement in history.The DOJ proved overbilling totaling ~$1 billion from 2009-2018. Kaiser kept
The “Big Three” PBMs just got exposed, and I’ve watched this happen from the inside. Since joining Oration back in 2012 and then at VIVIO
Look no further than the Anthem-Mr.Sinai situation in New York. This year, 9,000 Mount Sinai physicians exited Anthem’s network, affecting nearly 200,000 patients in active
PITTSBURGH–(BUSINESS WIRE)–With average premium increases of 6 to 9% for employer-sponsored health plans and 21% for millions of Americans in the ACA Marketplace, pressure is
The ACA subsidy cliff is coming. Millions will lose coverage or face crushing premium hikes. And yes, that’s a massive tragedy for patients, including many