https://www.whistleblowerattorneys.com/blog/whistleblower-unitedhealth-medicare-advantage-fraud
This is so telling. Scroll down to the part where they talk about how to increase reimbursement. And stupid me was thinking we were trying to help people stay well and recover.
Humana is already (2022) failing to pay claims in Florida. I know of two health systems that have refused to accept Humana insurance.
Humana's 11 audits with overpayments included plans in Florida and Puerto Rico that CMS had audited twice in three years.
Wonder if those are Care Plus plans.
https://www.npr.org/sections/health-shots/2022/11/21/1137500875/audit-medicare-advantage-overcharged-medicare
Released yesterday...
Humana only agrees to work with CMS when caught with their fraudulent pants down!!!
: @1kwo+1jMvS305 I DID read the OUTDATED article which does NOT specify which insurance companies! Fraud is rampant EVERYWHERE, including in the Non Medicare advantage world!
@piv+1jMvS305 .... You have to READ it to see it.
UnitedHealth isn’t the only insurer in hot water, however. The Justice Department is investigating four other Medicare Advantage insurers: Aetna, Humana, Health Net and Cigna’s Bravo Health, suggesting other whistleblowers have come forward. Humana is one of four healthcare fraud repeat offenders exposed by a whistleblower in the past.
This article is a year old, and not new news, fraud in the system, overcharging for dx, testing…that happens in Medicare, too, not just ma plans….it’s the providers in the system, they’re all over
This article does not mention Humana!!!