Efforts Intensify to Combat Medicare Fraud and Protect Program Integrity
Intensified efforts to combat Medicare fraud improve detection and prevention, safeguarding U.S. healthcare insurers and ensuring compliance with federal regulations.
CMS Alerts Medicare Providers to Rise in Fraudulent Fax-Based Medical Record Phishing
CMS warns Medicare providers of rising phishing scams via fraudulent fax requests for medical records falsely linked to audits. Providers urged to verify requests to protect patient data.
SHINE Program Aids Cape Cod Residents with Medicare Enrollment and Savings
The SHINE Program helps Cape Cod residents navigate Medicare enrollment, offering personalized guidance that leads to substantial healthcare savings and informed plan selection.
Medicare’s Fiscal Challenges Demand Strategic Reforms for Sustainability
Medicare faces growing financial challenges with rising costs and insolvency risks. Strategic reforms in funding, premiums, and Medicare Advantage are crucial for program sustainability and senior care access.
NY StateWide Highlights Medicare Doctor Spoofing Scam Targeting Seniors
New York StateWide Senior Action Council warns of Medicare fraud involving doctor spoofing calls targeting seniors, urging vigilance and reporting to curb $60B annual losses.
Medicare Fraud Prevention Week Emphasizes Beneficiary Vigilance
Medicare Fraud Prevention Week spotlights methods to reduce Medicare fraud and errors, with tips from the Senior Medicare Patrol to help beneficiaries monitor their claims effectively.
Major U.S. Insurers Commit to Streamlining Prior Authorization by 2027
Top U.S. insurers including Blue Cross Blue Shield, Humana, Cigna, and UnitedHealthCare pledge to streamline prior authorization by 2027, improving patient access and reducing provider burden.
Illinois Shifts Health Insurance Enrollment; Tax Credit Changes Loom
Illinois will switch healthcare enrollment to a state-based exchange this fall, with tax credit reductions and Medicare Advantage plan changes impacting consumers and carriers alike.
Medicare Part A Fund Projected to Be Insolvent by 2033, Three Years Sooner Than Expected
The Medicare Part A Hospital Insurance Trust Fund is projected to be insolvent by 2033, accelerating concerns about Medicare's long-term financial sustainability amid rising healthcare costs and aging beneficiaries.
Medicare Coordination Issues Cause Coverage Gaps and Billing Challenges
Explore Medicare coordination complexities with employer health plans leading to denied claims and billing disputes, affecting coverage and patient finances in the U.S. insurance market.