ISSUE

Medicare Advantage

More than half of eligible Medicare beneficiaries are now enrolled in a Medicare Advantage plan – an alternative to traditional Medicare coverage run by private companies. With Medicare Advantage taking on a more dominant presence in the Medicare program, various concerns have been raised with respect to overpayments, marketing practices, transparency, and prior authorization denials. Industry has aggressively fought policy efforts to reform aspects of the Medicare Advantage program, including through litigation.

Tracked Litigation

Humana Inc. et al. v. Kennedy et al.

Status
Briefing is ongoing
Date Filed
September 1, 2023
Court
Texas Northern
Goal
Block government from enforcing payment recoveries against Humana under new audit methodology +2 additional goal(s)

More Issues