New York Medicare Fraud Alert Targets Seniors with Expiring Card Scam
New York officials alert seniors to a Medicare fraud scheme exploiting expiring card fears, urging use of monitoring app and reporting scams to Senior Medicare Patrol.
AARP Collects Nearly $1 Billion in Medicare Licensing Fees Amid Conflict Concerns
AARP collects nearly $1 billion annually through licensing fees from Medicare Advantage plans, raising conflict of interest concerns amid federal investigations and calls for regulatory reforms in Medicare policy and marketing practices.
IQVIA Study Finds High Medicare Part D Denial Rates for New Chronic Condition Medications
IQVIA study reveals Medicare Part D plans frequently deny initial access to medications for chronic conditions, highlighting payer policy and compliance challenges.
Oklahoma Medicaid Work Requirements Pose Challenges Amid Low Employer Coverage
Senator Lankford supports Medicaid work requirements that may increase uninsured rates in Oklahoma due to low employer health coverage. Analysis of policy impact and healthcare challenges.
Senate Proposes Deeper Medicaid Cuts, Sparing Medicare Advantage Insurers
Senate Republicans advance aggressive Medicaid cuts for low-income and disabled populations while sparing Medicare Advantage insurers, impacting health insurance markets.
Senate Bill Tightens Medicaid Funding, Alters Health Care and Tax Policies
The Senate Finance Committee's health care and tax bill proposes stricter Medicaid funding limits, altered Medicare and tax policies, with key effects for expansion versus non-expansion states.
AHIP Flags Coverage and Market Stability Risks in Senate Budget Proposal
AHIP highlights risks to Medicaid coverage and individual market stability in the Senate Finance Committee's budget reconciliation proposal, urging Congress to preserve affordable access and competition.
Senate Republicans Consider Medicare Advantage Upcoding Reforms to Fund Tax Cuts
U.S. Senate Republicans are reviewing Medicare Advantage upcoding practices to reduce federal spending and support tax cut proposals, focusing on reforming provider payment inflation.
California Physician Sentenced for $1.5M Medicare Home Health Fraud Scheme
A California physician was sentenced for a $1.5 million Medicare home health care fraud involving false certifications and fraudulent billing. The case underscores critical compliance challenges in Medicare billing processes.
New Medicare Initiative Aims to Stop $60B in Fraud Losses
Medicare loses $60 billion annually to fraud, impacting beneficiaries' health and the program's finances. Senior Medicare Patrol leads prevention education during Medicare Fraud Prevention Week.