Illinois Brothers Indicted for $300 Million COVID-19 Health Care Fraud Scheme

Two Illinois brothers indicted for a $300 million COVID-19 testing fraud targeting Medicare, Medicaid, and private insurers with health care fraud and money laundering charges.

Medicare Part D Plans Shrinking as Medicare Advantage Enrollment Grows

Medicare Part D stand-alone drug plans decline as enrollment in Medicare Advantage with drug coverage rises, reshaping market options for 2026.

Medicare-X Choice Act Proposes Affordable Public Health Option Across U.S.

The Medicare-X Choice Act aims to create a public health insurance option nation-wide, enhancing affordability, coverage, and competition amid Medicaid cuts and ACA tax credit expirations.

Medicare Diabetes Prevention Program Faces Low Enrollment and Operational Challenges

The Medicare Diabetes Prevention Program has enrolled less than 1% of eligible beneficiaries since 2018 due to administrative, referral, and awareness challenges despite proven effectiveness. CMS changes aim to improve access and provider reimbursement.

Medicare Reimbursement Challenges Threaten Rural Office-Based Medical Practices

Medicare's outdated reimbursement system is jeopardizing rural office-based medical practices by underpaying for advanced outpatient procedures, leading to consolidation and increased healthcare costs. Proposed reforms aim to preserve independent care and improve access.

CMS Proposes Medicare Advantage Star Ratings Changes for 2027, Emphasizes Integrated Care for Duals

CMS's 2027 Proposed Rule for Medicare Advantage revises Star Ratings by focusing on clinical quality and member experience, delaying equity-focused rewards, and enhancing integrated care for dual-eligible populations.

Orcas Senior Center Hosts Insurance Enrollment Event with SHIBA Support

Orcas Senior Center hosts a free insurance enrollment event on December 6 with support from SHIBA, offering free, unbiased insurance counseling through the Washington State Office of the Insurance Commissioner.

CMS Expands Medicare Drug Price Negotiations to 25 Medications

CMS expands Medicare drug price controls to 25 medications, achieving $12 billion savings with new Maximum Fair Prices starting 2026 and 2027 for chronic and cancer treatments.

CMS Proposes 2027 Updates to Medicare Advantage and Part D Star Ratings

CMS has proposed key 2027 updates to Medicare Advantage and Part D Star Ratings aiming to streamline quality measures and modernize enrollment options to enhance care and plan accountability.

Kinney Drugs Partners with EnlivenHealth to Support Medicare Part D Enrollment

Kinney Drugs teams with EnlivenHealth to provide free Medicare Part D plan comparisons aiding seniors during Medicare open enrollment. Learn about plan options and enrollment strategies.