Medicare

Medicare Advantage plans denied prior authorization requests at unusually high rates, HHS report finds

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Patients enrolled in some of the nation’s largest Medicare Advantage plans were denied requests for rehabilitation and other critical services at unusually high rates, according to a report released Thursday by the Department of Health and Human Services’ inspector general. Subscribe to read this story ad-free Get unlimited access to ad-free articles and exclusive content. … Read more

Can credit card debt affect your Medicare eligibility?

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Debt can influence many aspects of your financial life, but its relationship with Medicare is often misunderstood. matdesign24/Getty Images After spending the last several years navigating rising healthcare costs, changing insurance options and overall economic uncertainty, many older Americans are looking forward to the stability that qualifying for Medicare can provide. And that makes sense. … Read more

Supreme Court rejects appeals from drugmakers over Medicare price negotiations

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WASHINGTON — The Supreme Court on Monday rejected appeals from pharmaceutical companies that object to negotiating Medicare drug prices with the federal government. The justices did not comment in leaving in place rulings from the federal appeals court in Philadelphia that dismissed the drug manufacturers’ claims. The negotiation program was created as part of the … Read more

Trump administration pauses Medicare enrollments for hospice providers amid fraud investigations

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Washington — The Trump administration announced Wednesday that it will be enacting a six-month moratorium on new Medicare enrollments by hospice and home health agencies to target fraud. According to the Centers for Medicare and Medicaid, during the moratorium, “CMS will intensify targeted investigations, deploy advanced data analytics, and accelerate the removal of hospice and HHA … Read more

Trump administration freezes new Medicare enrollments for hospice and home health agencies

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NEW YORK — The Trump administration said Wednesday it is expanding its sweeping fraud-busting initiative in federal health programs with a nationwide six-month freeze on any new Medicare enrollments by hospice and home health agencies. The moratorium will temporarily stop all new providers in these categories from signing up for reimbursement from Medicare, the federal … Read more

Fake Trump and Oprah ads fuel a wave of Medicare scams on Facebook, report says

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Meta, the parent company of Facebook and Instagram, is failing to stop some con artists who repeatedly buy ads on the platforms to target seniors with scams, according to a new report. Subscribe to read this story ad-free Get unlimited access to ad-free articles and exclusive content. The report is due to be released on … Read more

FBI arrests 8 for allegedly defrauding Medicare out of over $50 million

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FBI arrests 8 for allegedly defrauding Medicare out of over $50 million – CBS News Watch CBS News The FBI arrested eight people on Thursday for allegedly scheming to defraud Medicare out of more than $50 million. CBS News correspondent Adam Yamaguchi has been following the story for several months and joins “The Daily Report” … Read more

Hospice where staggering 97% of terminal patients survive is accused of defrauding Medicare for $7.45 million

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The FBI arrested a married couple Thursday accused of fraudulently billing Medicare for $7.45 million while running a hospice with a survival rate reported to be more than 97% after five years. They were the first in a series of arrests planned Thursday, federal officials told CBS News. A high survival rate at a hospice … Read more