Humana and UnitedHealth are among the top providers of the popular plans for seniors and account for nearly half of all MA enrollees nationwide, according to a 2023 analysis from KFF. Humana alone ...
UnitedHealth is being sued over allegations that it used an algorithm to deny rehabilitation care for Medicare Advantage beneficiaries, despite knowing the algorithm ...
T. Christian Miller, a reporter at ProPublica, explains how EviCore’s tool is manipulated to increase denials and cut costs. Some of the biggest health insurers in the country are turning to an ...