Illinois physician faces multiple felony charges for stealing over $1 million in Medicaid and Medicare payments through fraudulent billing practices involving unlicensed medical services.
Skilled nursing and hospital readiness varies as the CMS-initiated TEAM bundled payment model launches in 2026, impacting post-acute care coordination, financial risk, and value-based contracting in U.S. healthcare.
Understand how IRS tax filing status affects Medicare Part B and D premiums through IRMAA income thresholds, with tips on enrollment timing and employer coverage.
Beginning January 2026, six states will pilot an AI-driven prior authorization program in traditional Medicare to target fraud and waste, sparking industry concerns over increased claim denials and access delays.
CMS finalizes 2026 Medicare outpatient payment rule with 2.6% increase, site-neutral payment cuts, and elimination of inpatient-only list impacting hospitals and ASCs.
New analysis of 1.67M Medicare beneficiaries shows telehealth primarily substitutes in-person visits, stabilizing overall utilization. Key insights for policy and healthcare delivery.
Everything Senior Insurance provides Utah seniors with expert Medicare plan guidance and year-round support, highlighting key changes during the 2025 Medicare Annual Enrollment Period.
Analyze the benefits and considerations of switching from Medicare Advantage to Original Medicare with Medigap during the 2026 open enrollment period for informed insurance decisions.
Join a complimentary webinar with Ed Zurndorfer to explore Federal Employee Benefits, including FEHB plan comparisons and Medicare Part B integration, designed for federal employees and benefits professionals.
The HHS OIG report reveals Medicare Part B overpayments for continuous glucose monitors and supplies, recommending rate reductions to align with supplier costs and enhance program efficiency.
