financetom
Business
financetom
/
Business
/
Humana to back curbs to Medicare Advantage billing practices, WSJ reports
News World Market Environment Technology Personal Finance Politics Retail Business Economy Cryptocurrency Forex Stocks Market Commodities
Humana to back curbs to Medicare Advantage billing practices, WSJ reports
Jun 5, 2025 3:36 AM

(Reuters) -Humana has told congressional staffers that it will support moves that would curtail billing practices worth billions in extra payments to the industry, the Wall Street Journal reported, citing staffers and a document viewed by it.

The company is willing to back new limits on lucrative payments insurers can gain from diagnoses recorded by nurse practitioners who visit millions of enrollees in their homes, according to a one-page policy overview shared with the staffers, the WSJ reported on Thursday.

Humana did not immediately respond to a Reuters request for comment.

Nearly half of the 65 million people covered by Medicare, the U.S. program for people aged 65 and older or with disabilities, are enrolled in Medicare Advantage plans run by private insurers.

Insurers are paid a set rate for each patient, but can be paid more for patients with multiple health conditions.

Last fall, staff working for Senators Mike Crapo and Ron Wyden, the leaders of the Senate Finance Committee, contacted Medicare Advantage insurers for suggestions on legislative steps that would address the potential misuse of home visits described in Journal articles, the newspaper reported citing people familiar with the matter.

The Journal reported in February that the U.S. Department of Justice was examining UnitedHealth's practices for recording diagnoses that trigger extra payments to its Medicare Advantage plans.

The healthcare conglomerate had then said it was unaware of any new probe.

The WSJ has run a series of stories over the last several months detailing how UnitedHealth profited from using Medicare billing rules to its favor.

Comments
Welcome to financetom comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
Related Articles >
Best Buy Price Increases 'Highly Likely' Amid Trump Tariffs, CEO Says
Best Buy Price Increases 'Highly Likely' Amid Trump Tariffs, CEO Says
Mar 4, 2025
09:22 AM EST, 03/04/2025 (MT Newswires) -- Best Buy ( BBY ) Chief Executive Corie Barry said Tuesday that price increases are highly likely amid the tariffs imposed by President Donald Trump on China and Mexico. China and Mexico remain the number one and number two sources for products we sell, respectively, Barry said on a call to discuss the...
Quipt Home Medical Signs Cooperation Deal With Kanen Wealth Management
Quipt Home Medical Signs Cooperation Deal With Kanen Wealth Management
Mar 4, 2025
09:15 AM EST, 03/04/2025 (MT Newswires) -- Quipt Home Medical ( QIPT ) said Tuesday it has signed a cooperation deal with David Kanen, Philotimo Fund, and Kanen Wealth Management under which Kanen agreed to withdraw its notice about its intent to seek proxies in support of four director candidates at Quipt's upcoming annual general meeting. As part of the...
New Gold Launches $400 Million Notes Offering to Fund Tender Offer for Senior Notes
New Gold Launches $400 Million Notes Offering to Fund Tender Offer for Senior Notes
Mar 4, 2025
09:01 AM EST, 03/04/2025 (MT Newswires) -- New Gold ( NGD ) said Tuesday it launched a $400 million senior notes offering to fund a tender offer for its outstanding 7.50% senior notes due 2027. The company said it plans to use net proceeds from the offering, along with cash on hand, to repurchase all of the $400 million in...
Prada's CEO say group looks at M&A opportunities when they come around
Prada's CEO say group looks at M&A opportunities when they come around
Mar 4, 2025
MILAN, March 4 (Reuters) - Italian luxury group Prada looks at M&A opportunities when they arise, Chief Executive Andrea Guerra told analysts in a conference call on Tuesday. On one side we are focused on our brands, on the other side ... when things come around you'll look at them, Guerra said, when asked about the group's investment strategy. Prada's...
Copyright 2023-2026 - www.financetom.com All Rights Reserved