Third Party Administrators
The middleman business model inherently generates the potential for abuse.
AAHomecare Supports Medicare Advantage Legislation
AAHomecare has endorsed S. 4384 and H.R. 8375, the Medicare Advantage Improvement Act of 2026, bipartisan legislation that would deliver reforms to Medicare Advantage prior authorization, claims integrity, and transparency practices.
Big Picture—Growth, Medicare Advantage, Competitive Bidding
VGM's Alan Morris puts the DME growth number at 6.5% year-over-year...As for competitive bidding, it will be much different than previous rounds.
Stakeholder Engagement Builds on Competitive Bidding
A group of patient advocacy orgs launched a campaign that urges Congress and the Administration to delay implementation of the bid program.
Massachusetts Sues United Healthcare for Fraud
The Massachusetts lawsuit against United Healthcare is one more example of scrutiny of action by Medicare Advantage companies.
CPAP Remains Strong for Those With the Right Approach
The CPAP message is simple and accurate; If patients wear it, it will work. “We are seeing a higher compliance and adherence rate in our patient population than ever before,” says Josh Marx, CEO of Medical Service Company.