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UnitedHealth Group under DOJ investigation over Medicare billing practices

Medical Economics

Reynolds Key Takeaways UnitedHealth is cooperating with DOJ investigations into its Medicare Advantage billing practices, focusing on diagnoses that increased federal payments. Department of Justice (DOJ) into its Medicare billing practices.

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Low-income patients face uphill battle when fighting health insurance denials, Umass research finds

Medical Economics

health care system are affecting access to and affordability of even basic medical care, especially for historically marginalized populations. In the latest study, Horný and co-author Alex Hoagland, a health economist at the University of Toronto, analyzed 51,299 denied claims for medical services provided to U.S.

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April 2025 Healthcare Data Breach Report

The HIPAA Journal

CA Health Plan 12,224 Unauthorized Access/Disclosure Mailing incident involving mailing vendor (Billing Documents Specialists) Shipping labels contained Social Security numbers. Hackers exploited vulnerabilities in its PACS and gained access to sensitive patient data and medical images. PIH Health, Inc.,

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Data metrics to monitor

Physicians Practice

These videos are 5 to 10 minutes in length and will provide practical ideas and suggestions that have been tested in his practice or used by other physicians that significantly improve the efficiency and productivity of their medical practices. Dr. Baum is Professor of Clinical Urology at Tulane Medical School in New Orleans, Louisiana.

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Are your patients satisfied?

Physicians Practice

These videos are 5 to 10 minutes in length and will provide practical ideas and suggestions that have been tested in his practice or used by other physicians that significantly improve the efficiency and productivity of their medical practices. Dr. Baum is Professor of Clinical Urology at Tulane Medical School in New Orleans, Louisiana.

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What is the real cost of the care you provide?

Physicians Practice

These videos are 5 to 10 minutes in length and will provide practical ideas and suggestions that have been tested in his practice or used by other physicians that significantly improve the efficiency and productivity of their medical practices. Dr. Baum is Professor of Clinical Urology at Tulane Medical School in New Orleans, Louisiana.

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Value-based care could mean better access for Traditional Medicare patients, study finds

Medical Economics

Analyzing Medicare claims from 2019 to 2023, researchers found that primary care physicians (PCPs) who adopted a full-risk, multipayer VBC model in 2022 — with operational support from agilon health — saw an average of eight more new Traditional Medicare patients in 2023 than similar peers who remained in fee-for-service models. Price, M.D.