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MEDICARE


3 days ago

Feds expect to collect $4.7B in insurance fraud penalties

WASHINGTON — (AP) — The Biden administration estimated Monday that it could collect as much as $4.7 billion from insurance companies with newer and tougher penalties for submitting improper charges on the taxpayers' tab for Medicare Advantage care. The penalties are expected to return $4.7 billion over the next decade, the agency estimated. The questionable payments are submitted through Medicare Advantage, a booming program that nearly half of the 60 million people enrolled in Medicare sign up for. Medicare Advantage is different from traditional Medicare, with private companies offering plans that are reimbursed by the government for care. The move will raise insurance rates, warned Matt Eyles, the president of America's Health Insurance Plans, the lobbying arm for health insurance companies.

wftv.com
3 days ago

Detroit-area doctor sentenced to nearly 17 years in prison for vast opioid scheme

A Detroit doctor has been sentenced to nearly 17 years in prison for organizing a vast opioid scheme. The doctor would bill Medicare and insurers for unnecessary prescriptions for opioids.

foxnews.com
3 days ago

Social Security, Medicare should be 'off the table' in debt ceiling talks, McCarthy says

Debt ceiling negotiations between Democrats and Republicans should not include Social Security and Medicare, House Speaker Kevin McCarthy said Sunday.

cnbc.com
3 days ago

Medicare users still have time to change, drop 2023 Advantage Plan coverage. What to know

If you picked a Medicare Advantage Plan during the most recent fall annual enrollment period and it's not a good fit, you can make a change through March 31.

cnbc.com

White House blasts McCarthy for comments on strengthening Social Security, Medicare

The White House hit back after Speaker Kevin McCarthy (R-Calif.) said he wants to “strengthen” Medicare and Social Security, arguing on Sunday that the House GOP leader and his conference actually want to slash spending on the entitlement programs. McCarthy said in an interview on CBS’s “Face the Nation” earlier Sunday that he wants to…

news.yahoo.com

Lots of sound and fury on US debt, but not a crisis — yet

WASHINGTON — (AP) — For all the sound and fury about raising the nation's debt limit, most economists say federal borrowing is not at a crisis point ... at least not yet. The national debt is the accumulation over time of the yearly deficit. If the government cuts spending or raises taxes, it can trim the deficit and run a surplus, something that last happened in 2001. This has occurred even as the national debt has climbed almost nine-fold since 1991. Voters generally want minimal taxes, but they also want more Social Security, health care and other programs.

wftv.com

Lots of sound and fury on US debt, but not a crisis — yet

WASHINGTON — (AP) — For all the sound and fury about raising the nation's debt limit, most economists say federal borrowing is not at a crisis point ... at least not yet. President Joe Biden counters that the government spending cuts sought by Republicans in return for a debt limit increase would break the middle class. The national debt is not the yearly deficit, the amount the government outspends its tax revenues. This has occurred even as the national debt has climbed almost nine-fold since 1991. Voters generally want minimal taxes, but they also want more Social Security, health care and other programs.

wftv.com

Lots of sound and fury on US debt, but not a crisis — yet

For all the sound and fury about raising the nation's debt limit, most economists say federal borrowing is not at a crisis point.

Trump Finds an Opening Against DeSantis

By playing up his consistent vow not to cut Social Security and Medicare, the former president hopes to put his chief 2024 GOP rival, who repeatedly voted in Congress to slash both programs, on the back foot.

washingtonpost.com

House GOP study group is proposing changes to Medicare. Here's what you need to know

With one of Medicare's funding sources facing projected insolvency in 2028, the Republican Study Committee includes program changes in its proposed budget.

cnbc.com

The debt ceiling: A guide to why federal budget cuts are difficult

Spending cuts to balance the budget will require difficult choices that Congress has avoided.

washingtonpost.com

I voted for the Inflation Reduction Act and it's already saving Americans money

I was proud to vote for the Inflation Reduction Act, because I’m already hearing stories about Americans who can now afford the healthcare they need.

foxnews.com

Republicans' plans to slash Social Security and Medicare are becoming clearer: 'We have no choice but to make hard decisions'

Republicans have indicated that they're willing to hold off on raising the debt ceiling in order to secure cuts to Medicare and Social Security.

news.yahoo.com

Trump warns GOP about efforts to cut Social Security, Medicare

Trump's comments put him at odds with prominent House Republicans who are pushing for major reductions in the entitlement programs and array of others in exchange for raising the nation’s debt.limit.

washingtonpost.com

Chicago Man Convicted of Participating in Illegal Kickback Conspiracy

A federal jury in the Northern District of Illinois convicted a Chicago man yesterday for participating in a conspiracy to pay approximately $25 million in illegal kickbacks to generate business for his durable medical equipment pharmacy. Without the involvement of the Symed, the conspirators could not have submitted claims to obtain reimbursement from Medicare or other federal health care benefit programs. Sorensen was convicted of one count of conspiracy and three counts of payment of illegal kickbacks. Assistant Chiefs Leslie S. Garthwaite and Daniel J. Griffin of the Criminal Division’s Fraud Section are prosecuting the case. The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program.

justice.gov

As debt ceiling deadline looms, here's what it could mean for Social Security and Medicare

If debt ceiling negotiations are unsuccessful, the U.S. could default on its debt. Here's what that may mean for Social Security and Medicare.

cnbc.com

Letters to the Editor: What Republicans should know before they cut Medicare

The deficit has ballooned so much largely because of policy decisions made by Republicans. They are not the party of fiscal responsibility.

news.yahoo.com

Reporting gaps exposed for abuse allegations at Medicare/Medicaid certified hospices

WASHINGTON, D.C. — A new watchdog report is exposing reporting gaps for abuse and neglect allegations at Medicare and Medicaid certified hospices. >>> STREAM CHANNEL 9 EYEWITNESS NEWS LIVE <<wftv.com

Mississippi orthopedic clinic agrees to pay $1.87M to settle false claims

A Mississippi orthopedic clinic has agreed to pay $1.87 million settlement. A health care provider at the company allegedly submitted false claims to Medicare and Medicaid.

foxnews.com

Biden administration will select first 10 drugs for Medicare price negotiations by September

The federal government for the first time has the power to negotiate Medicare drug prices due to the Inflation Reduction Act.

cnbc.com

'Damaging cuts' to Medicare and Social Security are looking more likely with McCarthy as House Speaker. Here's what it will mean for retirees.

House Speaker Kevin McCarthy made concessions to far-right GOP members to win his seat, which likely include cuts to Medicare and Social Security.

news.yahoo.com

What is FICA and why does it matter for Social Security, Medicare?

Financial Adulting 101: Here’s why your paycheck is less than you thought it would be.

washingtonpost.com

Most Alzheimer’s patients would pay up to $26,500 per year for new treatment Leqembi

Most seniors who are eligible for the treatment will have to pay for it out of pocket because Medicare has limited coverage to people participating in studies.

cnbc.com

Republicans Signal Cuts To Social Security, Medicare With New House Majority

The House GOP is itching for a fight over spending cuts — including to major entitlement programs.

news.yahoo.com

FDA approves Alzheimer's drug that appears to modestly slow disease

An Alzheimer's drug that removes the substance amyloid from the brain has received a conditional approval from the FDA. A large study found the drug decreased the loss of thinking and memory by 27%.

npr.org

Here are key things you need to know if you’re eyeing a Medigap policy alongside basic Medicare

For some Medicare beneficiaries, a Medigap plan ends up being the best fit for supplemental coverage. Here's what to consider when choosing one.

cnbc.com

What long Covid patients need to know about health insurance

Patients with long Covid may experience disruptions to their health insurance coverage if they lose their job. Fortunately, they have other options to turn to.

cnbc.com

The Great Big Medicare Rip-off

The government is leaving billions of dollars on the table. Here’s how to fix it.

theatlantic.com

Millions to lose Medicaid coverage under Congress’ plan

Millions of people who enrolled in Medicaid during the COVID-19 pandemic could start to lose their insurance plans by April 1 if Congress passes the $1.7 trillion spending package leaders unveiled Tuesday.

Up to 254,000 Medicare beneficiaries are getting new ID cards due to data breach at subcontractor. What they need to know

Medicare officials said 254,000 beneficiaries may have had identifying information exposed in a ransomware attack that occurred in October.

cnbc.com

Medicare open enrollment ends Dec. 7. Here's why it's important to evaluate your 2023 coverage

Medicare Advantage Plans and prescription drug plans often make changes from year-to-year, which means it's worthwhile evaluating your costs for next year.

cnbc.com

Paul Ryan on the GOP’s future: ‘We lose with Trump’

“People are rightfully concluding,” says former House speaker Paul D. Ryan, that Trump “is becoming more of a political liability.”

washingtonpost.com

Biden administration extends payment pause on student loan debt

The Biden administration announced that it will extend the payment pause on federal student loans while its forgiveness plan remains blocked in the courts.

cnbc.com

Hidden Until Now, Audits Reveal Millions in Medicare Advantage Overcharges

Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans for seniors.

flaglerlive.com

Hidden audits reveal millions in overcharges by Medicare Advantage plans

Taxpayers footed the bill for care that should have cost far less, according to records released under the Freedom of Information Act. The U.S. government may charge insurers $650 million as a result.

npr.org

Even as the midterm election results were 'positive for seniors,' some worry about Social Security amid debt ceiling negotiations

The midterm election results were "positive for seniors." Yet some say a fight over Social Security could still be brewing with debt ceiling negotiations.

cnbc.com

Medicare’s Drug-Price Negotiations Can Get More Ambitious. Here’s How

The effort could further protect patients and taxpayers without harming innovation.

washingtonpost.com

New Medicare enrollment rules that eliminate coverage gaps take effect in 2023. Here's what you need to know

In certain situations under current rules, new Medicare beneficiaries have had to wait months for coverage to kick in. Next year, those delays will disappear.

cnbc.com

Republicans want to push Social Security, Medicare eligibility age to 70

House Republicans who may regain majority in midterm elections say "miracle" of longer lives necessitates raising retirement age.

cbsnews.com

'Sirens should go off': How to avoid getting duped by Medicare scammers during open enrollment

As beneficiaries are encouraged to review their coverage for 2023, fraudsters may try to capitalize on that and cast a broad net to lure in victims.

cnbc.com

Supreme Court skeptical of rejecting civil rights precedent

WASHINGTON — (AP) — The Supreme Court on Tuesday seemed unlikely to agree to overturn decades of precedent in a case about civil rights lawsuits, a result that would preserve the ability of individuals to use federal law to sue. The justices were told that result could leave tens of millions of people who have rights under federal programs including Medicare and Medicaid without access to the courts. The court is being asked to answer whether a person can use Section 1983 to go to court with claims their rights under the nursing home act are violated. Biden administration lawyer Benjamin Snyder told the court that Congress did not intend to allow Section 1983 lawsuits when it enacted the nursing home legislation. A trial court dismissed the case, but a federal court of appeals said it could proceed.

wftv.com

Supreme Court skeptical of rejecting civil rights precedent

The Supreme Court seems likely to reject a call to overturn decades of precedent and limit the ability of individuals to use federal civil rights law to sue.

Supreme Court skeptical of rejecting civil rights precedent

The Supreme Court on Tuesday seemed unlikely to agree to overturn decades of precedent in a case about civil rights lawsuits, a result that would preserve the ability of individuals to use federal law to sue. The justices had been asked to use a case about a nursing home resident who claimed a violation of his rights to more broadly limit the right to sue. The justices were told that result could leave tens of millions of people who have rights under federal programs including Medicare and Medicaid without access to the courts.

news.yahoo.com

How to fix Social Security and Medicare? GOP wants to raise benefits age to 70

House Republicans who may regain majority in midterm elections say "miracle" of longer lives necessitates raising retirement age.

cbsnews.com

‘What Idiots’: Biden Rips into Protesters for Calling Democrats ‘Socialists’

President Biden on Saturday ripped into protesters gathered outside the venue where he was speaking, calling them "idiots" for labeling Democrats "socialists."

news.yahoo.com

5 key personal finance issues this midterm election season — and what they mean for your wallet

Here are some of the most pressing personal finance issues for the midterm elections — and how Tuesday's results may affect your wallet.

cnbc.com

Medicare enrollees warned about deceptive marketing schemes

With Medicare’s open enrollment underway, health experts are warning older adults about an uptick in misleading marketing tactics that might lead some to sign up for Medicare Advantage plans that don’t cover their doctors or prescriptions and drive up their out-of-pocket costs.

Hawley shoots down GOP talk of using debt limit as leverage on Social Security, Medicare

Sen. Josh Hawley of Missouri rejected an idea to use debt limit as leverage for Social Security and Medicare negotiations, calling it "dumb."

foxnews.com

Manchin calls for deal on Social Security, Medicare, Medicaid in new Congress

Centrist Sen. Joe Manchin (D-W.Va.) on Thursday called for a broad bipartisan deal to protect the solvency of Social Security, Medicare and Medicaid, popular programs that face serious funding issues over the next few decades. “You’re going to get your financial house in order. We cannot live with this crippling debt,” Manchin, whose pivotal vote…

news.yahoo.com

Before dropping a Medicare Advantage plan altogether during open enrollment, compare these key costs

If you are thinking about dropping your Advantage Plan in favor of basic Medicare, your costs will likely look different, experts say.

cnbc.com

As Election Day approaches, Democrats warn of possible repercussions for Social Security and Medicare

Democrats, including President Joe Biden, have said the midterm election may shape two government programs retirees rely on, Social Security and Medicare.

cnbc.com

President Biden Travels To South Florida To Address Medicare And Costs

The President is headed to South Florida to give remarks on social security and Medicare, and fundraise for the DNC candidates.

newsy.com

Biden blasts Florida senators as he visits the state ahead of midterms

President Biden visits Florida for a rally for gubernatorial candidate Charlie Crist and Senate hopeful Val Demings.

washingtonpost.com

Texas doctor at center of CBS News investigation pleads guilty to fraud

Daniel Canchola admitted his role in a scheme that preyed on seniors' cancer fears.

cbsnews.com

Nurse practitioner pleads guilty in $4.4M health care fraud scheme

A nurse practitioner has pleaded guilty to fraudulently billing commercial health insurers and Medicare nearly $4.4 million for services that he never provided to patients as he had claimed.

❓Need help navigating Medicare? Your questions answered

We asked our News 6 Insiders to submit any questions they had about the program and took them straight to Justin Jacobs, president and CEO of Health Plan Markets, to get the answers.

❔Have questions about Medicare? Get answers here.

Do you have Medicare questions? We just might have answers.

Millions of Americans will save on Medicare fees next year

For the first time in a decade, Americans will pay less next year on monthly premiums for Medicare’s Part B plan, which covers routine doctors’ visits and other outpatient care.

Biden signs massive climate and health care legislation

President Joe Biden has signed Democrats’ landmark climate change and health care bill.

Deal on Capitol Hill could ease seniors' health costs

Some older Americans are cheering news of a deal on Capitol Hill that could lead to lower drug costs.

Pharmacies can’t discriminate on reproductive health scripts, Biden admin says

The Biden administration is warning pharmacies not to discriminate against women who may seek reproductive health prescriptions, including some that might be involved in ending a pregnancy.

Dems want to tax high earners to protect Medicare solvency

Senate Democrats want to boost taxes on some high earners and use the money to extend the solvency of Medicare.

Florida man accused of fraud caught fleeing to Cuba on Jet Ski, officials say

A Cuban man charged in a $4.2 million Medicare fraud scheme is being held as a flight risk after officials said he tried to flee the U.S. on a Jet Ski.

Go-broke dates pushed back for Social Security, Medicare

A stronger-than-expected economic recovery from the pandemic has pushed back the go-broke dates for Social Security and Medicare, but officials warn that the current economic turbulence is putting additional pressures on the bedrock retirement programs.

Medicare recipients to see premium cut — but not until 2023

Medicare recipients will get a premium reduction — but not until next year.

Sponsored

How to make an informed choice when it comes to your health insurance

Since the health industry is always evolving, making the right choice when it comes to your health insurance can be difficult.

Change at the top for Biogen after Alzheimer's drug flops

Biogen is looking for a new CEO less than a year after its launch of its Alzheimer’s drug Aduhelm largely fizzled.

Medicare weighs premium cut after limiting Alzheimer's drug

Medicare says it’s considering a cut in enrollee premiums, after officials stuck with an earlier decision to sharply limit coverage for a pricey new Alzheimer’s drug projected to drive up program costs.

Medicare enrollees to get free COVID-19 tests at drug stores

Medicare says that millions of enrollees will finally have access to free over-the-counter COVID-19 tests at drug stores.

House passes $35-a-month insulin cap as Dems seek wider bill

The House has passed a bill capping the monthly cost of insulin at $35 for insured patients.

COVID pandemic's end may bring turbulence for US health care

When the end of the COVID-19 pandemic comes, it could create major disruptions for U.S. health care.

Limits on insulin costs revived in push for Senate action

Legislation to limit insulin costs for people with diabetes is getting a new push in the Senate.

Two popular bills, two problems: It’s never easy in Senate

Two widely supported bills are encountering delays in the Senate.

Medicare opens up access to free at-home COVID-19 tests

The Biden administration says people with Medicare will be able to get up to eight free over-the-counter COVID-19 tests per month, starting in early spring.

Medicare posts key nursing home staffing info for consumers

Medicare says it's shining a light on key markers for nursing home quality.

Florida ends appeal in health worker vaccine case

The requirements, which apply to providers that take part in the Medicaid and Medicare programs, will start to take effect Thursday in Florida.

Medicare limits coverage of $28,000-a-year Alzheimer’s drug

Medicare says it will limit coverage of a $28,000-a-year Alzheimer’s drug whose benefits have been widely questioned.

Medicare told to reassess premium hike for Alzheimer's drug

U.S. health secretary Xavier Becerra is ordering Medicare to reassess a big premium increase facing millions of seniors this year.

Medicare urged to flex its power and slash back premium hike

The head of a Senate panel that oversees Medicare says the Biden administration should cut back a hefty premium increase soon to hit millions of enrollees.

$56K Alzheimer’s drug avoiding Biden’s cost curbs, for now

A new $56,000-a-year Alzheimer’s medication that’s leading to one of the biggest increases ever in Medicare premiums is highlighting the limitations of President Joe Biden’s strategy for curbing prescription drug costs.

Biden touts savings on insulin and other drugs for Americans

President Joe Biden is pledging his social agenda legislation will deliver tangible savings on prescription drugs for all Americans.

Sanders to Biden: Cut back looming Medicare premium hike

Sen. Bernie Sanders is asking the White House to cut back a big Medicare premium hike set to take effect in weeks and tied to a pricey Alzheimer’s drug whose benefits have been widely questioned.

Cap on drug price hikes for privately insured sparks battle

Workers and families with private health insurance would reap savings on prescription drugs from a little-noticed provision in President Joe Biden's social agenda bill.

Sponsored

New provider? 3 things to take to an initial doctor’s visit

When we go to a new doctor for the first time, there are a few things doctors suggest bringing for the initial visit.

Sponsored

Some things to look for in a provider while shopping for Medicare

One of the questions patients often ask after they have chosen a Medicare plan is: How do I choose a provider?

Sponsored

Which Medicare plan, provider will best suit my needs?

A plan that works for one person might not be what works for another person.

Alzheimer's drug cited as Medicare premium jumps by $21.60

Medicare’s “Part B” outpatient premium will jump by $21.60 a month in 2022, one of the largest increases ever.

Real Medicare drug savings in Dems' bill — but not overnight

Medicare enrollees who take expensive medicines could save thousands of dollars a year under the Democrats’ sweeping social agenda bill, but those dividends won’t come overnight.

Democrats reach drug price deal, Biden upbeat on Manchin

Democrats say they have sealed a deal to lower pharmaceutical drug costs for most older Americans as part of President Joe Biden’s sweeping $1.75 trillion domestic proposal.

Paid leave, immigration, tax changes added to Biden bill

House Democrats have added paid family and medical leave, immigration law changes and a state-and-local tax break to President Joe Biden's $1.75 trillion social services and environmental bill.

Sponsored

Medicare: What is it going to cost me in Orlando?

As Medicare open enrollment is in full swing, this is a time when many Medicare beneficiaries have questions.

Dems see progress in adding drug cost curbs to budget bill

Two congressional aides say Democrats have made significant progress on adding compromise provisions curbing prescription drug prices to their massive social and environment package.

Medicaid issues, not Medicare's, get fixes in Biden budget

Medicaid issues are turning up as winners in President Joe Biden’s social budget framework even as divisions force Democrats to hit pause on far-reaching improvements to Medicare.

Sponsored

5 important things to be aware of when shopping for Medicare

When shopping for a Medicare plan, one of the things people get so focused on is the benefits. In doing so, many often overlook the providers.

Sponsored

5 tips to prepare you for Medicare open enrollment

It’s that time of year again when millions of Americans across the country will have the opportunity to select or switch their health insurance benefits for the coming year.

Sponsored

Have questions about Medicare open enrollment? Phone bank event set for Wednesday

Calling all people ages 65 and older: Did you realize the window for Medicare open enrollment is now available?

Ban on negotiating Medicare drug prices under pressure

Negotiating Medicare drug prices is a linchpin of President Joe Biden's ambitious health care agenda.

Agonizing choices as Dems debate shrinking health care pie

Democrats are fretting about how they’d divide a shrinking pie amid signs that negotiations over President Joe Biden’s massive domestic policy bill could yield a smaller serving of health care spending.

House panel rejects drug pricing plan in setback to Biden

A House committee has dealt an ominous setback to President Joe Biden’s social and environment package.

COVID recession pushed Social Security insolvency up a year

The sharp shock of the coronavirus recession pushed Social Security a year closer to insolvency but left Medicare’s exhaustion date unchanged, the government reported Tuesday.

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