A recent OIG audit identifies $4.7 million in Medicare overpayments to optometrists for nursing home services due to insufficient CMS review processes and billing controls. The report urges enhanced oversight and provider training to prevent future improper payments.
Iowa Insurance Division warns Medicare beneficiaries of fraudulent calls requesting Social Security numbers, emphasizing legitimate plans do not require this for premium withholdings.
HHS introduces the ACCESS pilot to reimburse wearable tech and telehealth providers under Medicare for improving chronic care outcomes in seniors. New payment models aim to boost innovation in digital health.
The Iowa Insurance Division warns Medicare beneficiaries about scam calls requesting Social Security numbers, clarifying premium withholding procedures and highlighting Safe Haven Act infant placement updates.
UnitedHealthcare extends Bronson contract in Michigan through early 2026 as negotiations with Corewell continue. Key updates on insurer-provider agreements.
Rising Medicare Advantage costs and marketing-driven enrollment cycles challenge Medicare program sustainability and beneficiary care quality. Policy reforms target overpayment and plan standardization.
Explore critical insights on Medicare's Fall Open Enrollment period, covering Original Medicare, Medicare Advantage, Part D plans, and enrollment resources for 2026.
CMS introduces the ACCESS Model, a 10-year test of outcome-aligned payments to enhance technology-supported chronic disease management for Medicare fee-for-service beneficiaries.
Arnold & Porter's Brian Dunphy and Giselle Joffre earn recognition in Boston Magazine's 2025 Top Lawyers list for their expertise in healthcare and corporate litigation, including government investigations and regulatory compliance.
HHS Office of Inspector General recommends FRI refund $42,295 in Medicare overpayments amid regulatory oversight under National Defense Authorization Act FY 2023.
