State Intelligence — Wisconsin
Signals referencing this state across all sources.
6 signals
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UnitedHealthcare received $24M in Medicare Advantage overpayments in Texas: OIG
UnitedHealthcare’s Medicare Advantage business in Texas received an estimated $24.4 million in overpayments during 2020 and 2021 tied to diagnoses not supported by medical records, the HHS Office of Inspector General said in an audit report published Sept. 28. The report follows an OIG audit released a week prior that estimated UnitedHealthcare’s Wisconsin MA business […] The post UnitedHealthcare received $24M in Medicare Advantage overpayments in Texas: OIG appeared first on Becker's Payer...
UnitedHealthcare · 46 signals · last 30 days -
Federal watchdog accuses Humana, UnitedHealthcare Medicare Advantage plans of upcoding
Newly released HHS OIG audits of HumanaChoice and UnitedHealthcare of Wisconsin found both plans frequently exaggerated the health needs of their members, generating almost $180 million in overpayments over two years.
UnitedHealthcare + Humana · 59 signals · last 30 days -
Healthcare spending drove 91% of commercial premium growth over 13 years: Study
Growth in healthcare spending, not insurer profit margins, drove the vast majority of commercial premium increases over more than a decade, according to a study published Sept. 4 in JAMA Health Forum. Researchers at Yale University and the University of Wisconsin-Madison analyzed CMS data from 2011 to 2024 covering the large group, small group and […] The post Healthcare spending drove 91% of commercial premium growth over 13 years: Study appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Head of UnitedHealthcare’s Illinois market to oversee Wisconsin, Michigan
The head of UnitedHealthcare’s Illinois plan will now oversee Wisconsin and Michigan.
UnitedHealthcare · 46 signals · last 30 days -
Wisconsin insurer expands Cost Plus Drugs partnership
Network Health, the insurance arm of Wisconsin-based Froedtert ThedaCare Health, is expanding its partnership with Mark Cuban Cost Plus Drug Co. to include employer-sponsored health plan members. In early 2025, Network Health became one of the first insurers in the country to integrate Cost Plus Drugs into its Medicare Advantage pharmacy network. On Aug. 3, […] The post Wisconsin insurer expands Cost Plus Drugs partnership appeared first on Becker's Payer Issues | Payer News .
Competitive / Operational Strategy · 36 signals · last 30 days -
New Video Ads: Kathy’s Story Highlights the Stakes in Medicare Advantage Funding Fight
WASHINGTON — When Sturgeon Bay, Wisconsin, retiree Kathy Bandstra broke her hip on the same day she met CMS Administrator Dr. Mehmet Oz, she faced an $81,000 medical bill. Not … Continue reading "New Video Ads: Kathy’s Story Highlights the Stakes in Medicare Advantage Funding Fight" The post New Video Ads: Kathy’s Story Highlights the Stakes in Medicare Advantage Funding Fight appeared first on Better Medicare Alliance .
Policy / Regulatory Changes · 140 signals · last 30 days