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REVEALED: 4 - The Real Truth

Medicare Just Fined 14 Insurers as the Electronic Prior Authorization Deadline Approaches

CMS fined 14 Medicare plans $1.54 million and flagged prior authorization failures ahead of the January 2027 electronic exchange deadline.

Medical Daily

Medicare to End Premium Stabilization Program for Standalone Drug Plans

CMS is ending the Part D Premium Stabilization Demonstration after 2026. Here is what it did and what seniors will learn in September.

Medical Daily

CMS Flags 50 Medicaid Providers in Data Sweep, Including Billing for Tests Patients Did Not Need

CMS says its Medicaid Fraud War Room flagged 50 providers and blocked $203 million. Here is what it means if your provider is on the list.

Medical Daily

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Four States Now Activate Medicaid Before Jail Release as New Federal Law Pressures the Rest

Four states now enroll people in Medicaid before release from jail. H.R. 1 has forced three others to pause, and outcome data is not in yet.

Medical Daily

Approved but Not Covered: Why Medicare Patients Wait a Year for Devices Their Doctors Can Already Prescribe

FDA approval does not mean Medicare pays. Here is why the gap exists, what the proposed RAPID pathway would change, and what patients can do now.

Medical Daily

What You Can Already Demand from a Hospital About Its Prices While Congress Argues About the Rest

Congress advanced two price transparency bills. Here are the pricing rights hospitals already owe you today, and how to actually use them.

Medical Daily

GLP-1 Medicare Coverage: How to Get It for $50 (And the Catch)

A new CMS program finally brings Wegovy and Zepbound within reach for seniors. But a hidden rule about your deductible could cost you thousands.

Kiplinger

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Trump Administration Pulls the Plug on a Medicare Subsidy That Cut Drug Premiums— Oz Says the 'Bailout' Is Over as Seniors Brace for 2027 Hikes

The Centers for Medicare & Medicaid Services (CMS) announced Tuesday it will end the Medicare Part D Premium Stabilization Demonstration after the 2026 plan year, ending a federal subsidy program that has helped keep prescription drug premiums lower and could result in higher costs for some seniors beginning in 2027.

Benzinga

Here's What Ending the Medicare Drug Subsidy Really Means for Your Parents' Premiums in 2027

Washington is ending a subsidy that held down Medicare drug premiums. Officials say costs will barely move, but most of the 25 million enrollees face higher 2027 bills.

International Business Times UK

Trump administration to end Medicare Part D subsidy after 2026

The Trump administration will end a Medicare Part D subsidy program after 2026. Insurers have gained enough experience to price plans accurately without this support. CMS Administrator Dr. Mehmet Oz stated premiums will increase by less than ten dollars. Many Medicare recipients may even see their premiums decrease next year.…

The Economic Times

Medicare 2027 Projections: Here's How Much Your Monthly Premiums Are Estimated to Rise

In 2027, Medicare participants will pay more for their health care. Fortunately, Part B costs are expected to rise less than 5%.

Kiplinger

Nebraska Has Been Running Medicaid Work Checks Since May. Every Other Expansion State Has Five Months.

Nebraska started Medicaid work checks in May. Forty other states and D.C. have until January, at roughly $15 million each. Who is ready?

Medical Daily

Federal Medicaid Work Rule Takes Legal Effect Friday as a Judge Weighs Whether to Pause It

The Medicaid work rule takes effect July 31, and CMS projects 2.3 million fewer enrollees in FY2027. What enrollees should check before August 31.

Medical Daily

Denied Coverage For Wegovy Or Zepbound? Here Is What The Latest Value Assessment Says About Price And Access

Denied for Wegovy or Zepbound? A new value analysis explains why plans refuse coverage and what exceptions and appeals actually involve.

Medical Daily

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Medical Daily

CMS Data Show 3 Million Fewer People Actually Covered by Marketplace Plans, and Those Who Stayed Face Record Deductibles

CMS data show marketplace enrollment fell to 19.2 million. Those who stayed shifted to bronze plans with record $3,786 average deductibles.

Medical Daily

ICER Finds Weight-Loss Drugs Cost-Effective, But Analysts Warn the Projected Savings Depend on Patients Staying On Them

ICER finds GLP-1s cost-effective for obesity, but analysts warn projected savings assume patients stay on treatment. What it means for coverage.

Medical Daily

CMS Projects Millions Fewer Medicaid Enrollees as Work Requirement Rule Takes Effect

CMS's Medicaid work requirement rule takes effect July 31. The agency projects 2.3 million fewer enrolled in 2027. What beneficiaries should do now.

Medical Daily

Medicare's New $50 GLP-1 Copay Is Temporary and Expires in 2027 — Millions of Seniors Could Lose Access Again

Medicare's $50 GLP-1 program expires December 31, 2027. BALANCE is delayed. No permanent coverage exists. What seniors need to know before starting Wegovy or Zepbound.

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Medical Daily

CDC Data Show Hospital Infections Have Fallen 27% Since 2015, but Maintaining That Progress Remains a Challenge

A July 2026 CDC/NEJM study found hospital infection rates fell 27% from 2015 to 2023, with major drops in CLABSI, C. diff, and MRSA. But 518,000 HAIs still occurred in 2023.

Medical Daily

CDC Data Show Hospital Infections Have Fallen 27% Since 2015, but Maintaining That Progress Remains a Challenge

A July 2026 CDC/NEJM study found hospital infection rates fell 27% from 2015 to 2023, with major drops in CLABSI, C. diff, and MRSA. But 518,000 HAIs still occurred in 2023.

The Free Financial Advisor

CMS Issues Technical Correction to 2027 Affordable Care Act Benefit and Payment Parameters Rule

The Centers for Medicare & Medicaid Services (CMS) has issued a technical correction to its 2027 Notice of Benefit and Payment Parameters, updating portions of the Affordable Care Act (ACA) rule that governs health insurance marketplaces and the Basic Health Program. The correction was published in the Federal Register on…

Medical Daily

Medicare's New GLP-1 Weight Loss Drug Program Launched July 1, but It Expires in 2027 with No Successor in Place

The Medicare GLP-1 Bridge launched July 1, 2026 at $50/month for eligible beneficiaries. It expires December 31, 2027, with the permanent BALANCE replacement indefinitely delayed.

International Business Times UK

Trump Administration Holds Back Medicaid Funds While House Backs $1.15 Trillion Israel-Tied Military Bill

The US govt has frozen over £796 million in Medicaid payments to California and Minnesota due to compliance issues, while approving a record £858 billion defence budget, sparking political debate.

Medical Daily

Trump Administration Freezes Over $1 Billion in Medicaid Payments to California and Minnesota Over Fraud Claims

HHS and CMS froze $867M in California Medicaid and $200M in Minnesota Medicaid on July 21, citing fraud. States dispute the move. Here's what enrollees need to know.

Medical Daily

Hundreds of Thousands Could Lose Home Care as Federal Government Freezes $867.5 Million in California Medicaid Payments

CMS froze $867.5M in Medicaid funds for California's home care program. Here's what it means for the 700,000+ elderly and disabled residents who depend on IHSS.

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