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EXPLAINED: Medicare news topic | Rare Historical Photos

Statins, Iron Pills, and Dementia Drugs Lead 24 Medication Chains Where a Side Effect May Prompt Another Prescription

A BMJ study of 2.3 million older adults in Ontario flagged 24 drug chains where a side effect may lead to another prescription. What families should ask.

Medical Daily

Confidential Drugmaker Deals Could Cut Projected Medicare Savings from Most-Favored-Nation Pricing by 71% to Nearly 80%

A Lancet model says confidential drugmaker deals could erase 71% to nearly 80% of projected Medicare savings from foreign drug price benchmarks.

Medical Daily

Appealed Prior Authorization Denials Are Often Overturned, but Reversal Rates Range from 16% to 93% by Insurer

Many insurance denials are reversed on appeal, but odds vary by plan. Learn how internal appeals and external reviews work and what to do first.

Medical Daily

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FDA Grants Breakthrough Status to a Phage Treatment for Drug Resistant Staph Bloodstream Infections Ahead of Phase 3

The FDA granted Breakthrough Therapy designation to a bacteriophage treatment for complicated staph bloodstream infections ahead of a planned Phase 3 trial.

Medical Daily

That Prescription Is Moving to a Different Tier Next Year — What Could It Cost?

A prescription that costs $10 or $20 today may not cost the same amount when your Medicare drug coverage resets in January. Medicare Part D...

Saving Advice

Trump administration moves to push AI into medical care despite concerns, and these AI agents will offer therapy and prescribe medicine

That's more than a Pandora'x box.

We Got This Covered

Federal Health Funding Now Runs to December 11 with Community Health Center Fund Expiring Twenty Days Later

The federal funding deadline is now December 11, and the Community Health Center Fund expires December 31, both after the midterm elections.

Medical Daily

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Nine in Ten Biologic Drugs Losing Patent Protection by 2034 Have No Lower-Cost Alternative Under Development

A generic industry report says 90 percent of biologics losing patents by 2034 lack a biosimilar in development, putting large projected savings at risk.

Medical Daily

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

Sept 11 Responders Developing Dementia Find It Is Not on the Federal Program's Covered Conditions List

Researchers link Ground Zero exposure to early dementia, but the World Trade Center Health Program does not cover it. How conditions are added.

Medical Daily

An FDA Panel Reviews the First Multi Cancer Blood Test on September 23 Without Any Mortality Data

An FDA advisory panel votes this month on Galleri, the first multi-cancer blood test to reach review. What the evidence shows and does not.

Medical Daily

Marketplace, Medicare and Employer Plans All Cost More in 2027 as the Out of Pocket Cap Hits $12,000

Employer health costs may rise 8.2% in 2027, marketplace rates by about 15%, and the out-of-pocket cap may climb to $12,000. What is confirmed and what is not.

Medical Daily

Indian-origin man wanted in US over $93 million Medicare fraud

An Indian-origin individual is a fugitive in the US for allegedly defrauding Medicare. Khadeer Khan Mohammed submitted false claims for genetic tests, totaling USD 93 million. Medicare paid at least USD 65 million from these fraudulent claims. He allegedly used physicians' information without their knowledge or consent. Mohammed is believed…

The Economic Times

Is $5,000 Enough for a Retirement Emergency Fund? Run These 5 Expenses First

Having $5,000 sitting safely in the bank can feel reassuring after you retire. After all, the traditional reason for keeping months of expenses in cash...

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What Happens to Medicare When a Retiree Moves to Another State?

Moving from Ohio to Florida, California to Arizona, or any other state doesn’t mean starting Medicare from scratch. Your Medicare Part A and Part B...

Saving Advice

A $2,071 Social Security Check Sounds Livable — Until These 6 Bills Come Out First

A monthly Social Security check of $2,071 may sound workable, particularly for someone entering retirement with a paid-off car, a modest lifestyle, and few debts....

The Times of India

Indian-origin lab owner wanted in US over alleged $93 million Medicare fraud

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Brooklyn Adult Daycare Owner Gets 76 Months in Prison After $64 Million Medicaid Fraud Scheme

A Brooklyn adult daycare owner is headed to federal prison after prosecutors say her businesses billed Medicaid approximately $64 million through a years-long scheme involving...

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Medical Daily

Caps on State-Directed Medicaid Payments Could Cut 10 to 25 Percent of Medicaid Spending in 17 States

Medicaid payment caps in the 2025 budget law could cut 10% to 25% of total Medicaid spending in 17 states. Who is most exposed, and when?

Medical Daily

Chris Johnson Lost His Speech to ALS Within a Year, and His Case Highlights Early Warning Signs

Former NFL back Chris Johnson was diagnosed with ALS at 39 and now speaks through an eye-controlled device. What early symptoms look like.

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Medicare Fraud Prevention Is Getting a $226,000 Boost—Here’s What It Could Mean for Beneficiaries

Medicare beneficiaries could see expanded fraud alerts, improved smartphone tools, and new technology-based outreach under additional federal funding announced for the Senior Medicare Patrol Resource...

Medical Daily

Uptown's Shuttered Weiss Memorial Hospital Loses Its State License, Leaving Neighbors to Rely on Other North Side ERs

Illinois says the closed Weiss Memorial Hospital in Uptown has lost its license. Where can Uptown residents go now for emergency and hospital care?

Medical Daily

Medicare Advantage Members Facing 2027 Plan Exits and Expected Benefit Cuts Should Check Doctor Networks Before October 15

Insurers are expected to trim 2027 Medicare Advantage benefits and exit some markets. How seniors can confirm a plan is ending and keep their doctors.

Medical Daily

Banks Flagged $17.5 Billion in Activity Tied to Possible Health Care Fraud, with Home Health Named Most Often

Financial institutions flagged about $17.5 billion in activity possibly tied to health care fraud, most often naming home health firms. What families can check.

Saving Advice

Your 2027 Social Security Raise Is Tracking at $70–$75 a Month. Medicare Is Already Lined Up to Take Part of It.

If you collect Social Security, there are two important dates to note. Friday, Sept. 11, the Bureau of Labor Statistics releases its official August inflation...

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