US government intends to take $4.7 billion from health insurance companies

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A new Medicare regulation will aggressively audit Advantage plans for indications of overbilling. The Biden administration has announced a new rule designed to crack down in Medicare private plans that have allowed insurance companies to overcharge the US government. The regulation is seeking a more aggressive approach to auditing the Medicare Advantage program’s plans. The Medicare Advantage program enrolls almost 50 percent of all the beneficiaries of Medicare. According to the Biden administration, it is expecting to recoup as much as $4.7 billion from insurance companies that have overcharged the…

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U.S. states share a $296.5 million bonus for coverage of children without health insurance

Twenty-three states will be receiving their part of a total $296.5 million bonus for their accomplishments in assisting low-income families to take part in public health programs that provide their children with coverage. The payments are designed to give these states a reward for having streamlined their Medicaid and Children’s Health Insurance Program eligibility. The goal is to increase the coverage of children who are 19 years old or younger and who live in households of four family members with an annual income of up to $45,000. That said, some…

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