Medicare and telehealth: more restrictive rules could hit patients in 2025
Congress recently pulled a similar stunt on Medicare beneficiaries. But in this case, the result was more than just ...
I’m blindsided by extra Medicare charges because of my income. How do I avoid this situation?
A reader is trying to plan ahead to avoid the dreaded surcharges that can come out of your Social Security check.
Weight-loss drugs like Ozempic may be up for Medicare price negotiations — will Trump support it?
Medicare’s drug pricing negotiations — the first of their kind in the United States, passed under President Joe Biden — face ...
Here We Go Again: The Medicare Advantage Open Enrollment Period
The Medicare Advantage Open Enrollment Period (Jan 1–Mar 31) lets you switch plans or adjust coverage. Review your options to ...
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Businessman Mansinh Chaudhari Pleads Guilty To Medicare Fraud
Mansinh Chaudhari, 55, of Illinois, pleaded guilty before U.S. District Judge Michael E. Farbiarz in Newark federal court to ...
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Growth in Medicare Advantage Raises Concerns
MA plans are substantially overpaid compared to traditional Medicare. Much of these overpayments benefit the MA plans rather ...
Biden ‘finally beat Medicare’ on his way out of office
On its way out, the Biden administration is fighting to limit Medicare Advantage options, leaving the Trump administration with little time to adjust.
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Change in Medicare prescription drug coverage will help millions
There’s a major change in 2025 to Medicare’s prescription drug coverage. This year, there’s a new $2,000 cap on annual out-of ...
Mastering Medicare Appeals: Your Guide to Overturning Denials
On the other hand, Medicare Advantage plans have a more nuanced process. These plans require prior approval for all claims, making the insurance carrier the first point of contact for denials. While ...
Medicare rules may reduce prescription steering
Weill Cornell Medicine researchers have found that pharmacy benefit managers (PBMs)—organizations that negotiate access to ...