From Medicare Advantage News - Medicare Advantage plans still generally are reporting strong earnings, aided by continued low medical-services utilization, based on figures and comments on first-quarter results of publicly held firms presented late last month and early this month. But several of the plan sponsors also pointed to storm clouds on the horizon in the form of not only payment-rate reductions but also the industry fee that starts in 2014 and the expected return of higher utilization patterns. The prime example of all of those trends may be Humana Inc. Read more
From Medicare Advantage News - Medicare Advantage plan sponsor Universal American Corp. is building a potentially substantial new business helping rural providers start MA plans of their own, sometimes in areas where the company itself has MA operations. Universal American will be supplying capital, taking risk and performing insurance-related functions in return for 50% of the net profits in an approach linked partly to aiding the providers as managed care business for Medicare-Medicaid dual eligibles… Read more
From Medicare Advantage News - The problems for Universal Health Care Group Inc. and its former executives deepened yet again when federal agents raided its St. Petersburg, Fla., headquarters March 28 as part of an apparent health care fraud investigation. The agents from the FBI and a federal task force, bearing search warrants but not disclosing what they were looking for, ushered all but a few employees out of the building and then removed files… Read more
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