Tag: Medicare

Massachusetts Man Sentenced for $4M Medicare Durable Medical Equipment Fraud

Krishna Gidwani sentenced to prison and ordered to pay $3M restitution in $4 million Medicare fraud scheme involving medically unnecessary durable medical equipment. Case is part of DOJ's 2025 National Health Care Fraud Takedown targeting DME fraud and telemarketing schemes.

Rising Medicare Premiums Diminish Social Security COLA Impact for 2026

Medicare Part B premium hikes in 2026 will offset Social Security benefit increases, challenging retiree financial stability and planning.

State Strategies for Site-Neutral Payment in Outpatient Healthcare Services

Explore state approaches to site-neutral payment policies in outpatient healthcare services, leveraging Medicare guidance to control costs and improve payment fairness.

Gallup Poll Shows Rising Concern Over Medicare and Social Security Changes

New Gallup poll reveals rising public concern over potential changes to Medicare and Social Security benefits, highlighting implications for insurers and policy compliance.

Medicare Recipients Encouraged to Use Free Wellness Screenings in Carbon County

Memorial Hospital of Carbon County promotes free Medicare wellness visits to improve early detection and preventive care in rural communities, supported by nurse practitioner training programs.

Medicare Does Not Cover Nursing Care: Key Insights for Retirement Planning

Understand why Medicare does not cover nursing care and what this means for retirement and disability insurance planning.

Key Considerations for Medicare Advantage Plan Changes in 2026

Understand key Medicare Advantage plan changes in 2026, including costs, provider networks, telehealth expansion, and managing out-of-pocket limits for optimal healthcare coverage.

Key Considerations for New Medicare Advantage Enrollees in 2026

Understand essential factors for new Medicare Advantage enrollees in 2026 including plan costs, network restrictions, out-of-pocket limits, and telehealth benefits to optimize coverage and manage expenses.

CMS Relief Payments for Change Healthcare Cyberattack Reveal Overpayment Issues

Health Affairs report reveals CMS overpaid hospitals $2.2B in relief after the 2024 Change Healthcare cyberattack, highlighting challenges in Medicare reimbursement disruption and relief program design.

CMS Announces ACCESS Model to Test Outcome-Payment Approach for Tech-Driven Chronic Care

CMS launches the ACCESS Model to link Medicare payments to clinical outcomes, expanding technology-supported care for chronic disease management starting July 2026.