According to an analysis by Fitch Ratings, the led to a 34 percent growth in Medicaid-related revenue for the insurance industry in 2014. The largest for-profit insurer in the country, UnitedHealth Group, is the leading Medicaid insurer as well. It took in 15 percent of the $115 billion in Medicaid premiums written in 2014. Four other large insurers – Anthem, Centene, Molina, and Wellcare – combine with UnitedHealth to account for nearly half of the Medicaid market. Not only has the expansion of Medicaid made the low-income health care program an attractive venture for insurers, but efforts by the federal government to […]
The Council for Medicare Integrity reports that the rate of Medicare Fee-for-Service improper payments rose 8.6 percent to 12.1 percent, with a loss of more $40 billion annually to the Medicare Trust Funds. In fiscal year 2014, Missouri providers over-billed Medicare [PDF] by more than $32.5 million with an average of $40.41 mis-billed per Medicare beneficiary in the state, according to a 2015 report from the Centers for Medicare and Medicaid Services. The Recovery Audit Contractor Program was enacted by Congress in 2009 to review Medicare FFS post-payment claims to identify and recover improper payments made to providers. The program […]
Increased medical costs is forcing many successful cancer survivors to delay or avoid care, discontinue medication. Due to Improved treatment options the survival rate among cancer patients is increasing every year. But due to escalating medical cost, the Patient out of pocket expense is also increasing constantly. There are close to 14.5 million cancer survivors in the USA, treatment cost per year is on the increase depending on the Insurance status.