UNBELIEVABLE: 6 - The Untold Story

Autism Therapy Clinics Lose Medicaid Payments Without Fraud Findings as Federal Crackdown Spreads to More States

Autism therapy providers in Nebraska, Colorado, and New York report lost Medicaid payments during a federal fraud crackdown, though none has been found guilty.

Medical Daily · Sep 14

Half of Medicare Advantage Quality Thresholds Got Harder for 2027, and Star Ratings Post in Early October

CMS draft cutpoints show that about half of Medicare Advantage quality thresholds tightened for 2027. What star ratings mean when you compare plans.

Medical Daily · Sep 14

Hospital Price Transparency Compliance Jumped to 49 Percent, but Only 18 Percent Post Real Dollar Prices Broadly

A watchdog scorecard found that 49% of hospitals fully comply with federal price rules, up from 21%. Only 18% post real dollar prices broadly.

Medical Daily · Sep 14

Did Medicare Pay for a Test You Never Received? A New Fraud Crackdown Gives Seniors a Reason to Look

When was the last time you checked whether every laboratory test appearing on your Medicare claims was one you actually received? That question suddenly carries...

Saving Advice · Sep 10

CMS Is Targeting Unauthorized Health Insurance Enrollments—Here’s What Consumers Should Check

Imagine going to use your health insurance and discovering that the plan you thought you had isn’t the plan showing in the system or learning...

Saving Advice · Sep 10

157 Lab Providers Lost Medicare Billing Privileges—Here’s Why Checking Your Medicare Statement Matters

That unfamiliar laboratory charge on your Medicare statement may look like something only a billing department could understand, but it deserves more than a quick...

Saving Advice · Sep 10

When a Hospital System Buys Your Doctor's Practice, the Same Procedure Can Suddenly Cost Twice as Much

Hospital purchases of doctors' practices can steer patients to pricier settings and add facility fees. Here is how it works and what to ask first.

Medical Daily · Sep 10

Federal Regulators Bar Eleven Medical Equipment Suppliers That Billed Medicare for Beneficiaries Who Had Already Died

CMS barred 11 medical equipment suppliers tied to $3.4 billion in suspected fraudulent billing, saying all of them billed for deceased beneficiaries.

Medical Daily · Sep 10

6 Charges on Your Medicare Statement You Should Never Ignore

That Medicare statement arriving in the mail may look like another piece of paperwork you can glance at and file away, but doing that could...

Saving Advice · Sep 9

Retirees Track a 3.6 Percent Social Security Estimate as Medicare Premiums Threaten to Absorb Part of It

The 2027 Social Security COLA is projected at 3.6 percent. Rising Medicare Part B premiums will take a share before checks arrive.

Medical Daily · Sep 9