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The Latest Breaking News from CMS

Audits — hidden until now — 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, with some plans overbilling the government more than $1,000 per patient a year on average.

Tribune News Service

Path cleared for Georgia to launch work requirements for Medicaid

Georgia is set to become the only state to have work requirements for Medicaid coverage.

Tribune News Service

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.

WEKU

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The Medicare insulin price cap explained

A cut in drug prices for some Medicare beneficiaries kicks in next year, but finding those savings isn't easy

Salon

Medicare plan finder likely won’t note new $35 cap on out-of-pocket insulin costs

A big cut in prescription drug prices for some Medicare beneficiaries kicks in next year, but finding those savings isn’t easy.

Tribune News Service

Hospital probed after denying abortion

In the wake of Missouri's abortion ban, one hospital is in hot water after denying an essential abortion

Salon

Medicare phone scammers want to slash your benefits and leave you with fewer in-network providers

You answer the phone and you’re greeted by a weird tone, followed by a few seconds of silence.

Tribune News Service

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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

The Independent UK

Hall Pass: Your Ticket to Understanding School Board Politics, Edition #36

Welcome to Hall Pass, a newsletter written to keep you plugged into the conversations driving school board politics and governance.

Ballotpedia

Missouri hospital investigated for allegedly denying an emergency abortion

The federal government has launched its first confirmed investigation of an alleged denial of an abortion to a woman experiencing a medical emergency.

Tribune News Service

Angel investors follow venture capitalists with funding injection into Hull siblings' no-code app firm

February has also been placed on accelerator programme for IP-rich start-ups

Birmingham Post

Inside DoC’s slow ride towards more biking

Almost two years after a review was flagged on conservation land, DoC is in “preparatory and planning” mode

Newsroom.co.nz

As hepatitis C proliferates, states lift barriers to treatment

While national efforts to eliminate hepatitis C have faced setbacks because of increased drug use, the impact of COVID-19 and insurance complications, there’s a bright spot: Some states are now making it easier for patients to treat the disease.

Tribune News Service

As hepatitis C proliferates, states lift barriers to treatment - Roll Call

States that have traditionally imposed restrictions to costly hepatitis drugs are now lifting those barriers.

Roll Call

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Tribune News Service

After Congress fails to add dental coverage, Medicare weighs limited benefit expansion

Proposed changes in Medicare rules could soon pave the way for a significant expansion in Medicare-covered dental services, while falling short of the comprehensive benefits that many Democratic lawmakers have advocated.

Tribune News Service

Nursing home surprise: Advantage plans may shorten stays to less time than Medicare covers

After 11 days in a St. Paul, Minnesota, skilled nursing facility recuperating from a fall, Paula Christopherson, 97, was told by her insurer that she should return home.

Orlando Sentinel

Flooding, power outages plague central Florida senior facilities after Hurricane Ian

ORLANDO, Fla. — When family members went to check on their loved ones at an assisted living facility called Grand Villa of Altamonte Springs last weekend, they were shocked to find their relatives’ rooms lacked power and air conditioning.

Benzinga

Why Aehr Test Systems Shares Are Trading Higher By Over 19%, Here Are 51 Stocks Moving In Friday's Mid-Day Session

Gainers Innovative Eyewear, Inc. (NASDAQ: LUCY) jumped 108% to $3.3943 on abnormally-high volume. The company released its October investor presentation yesterday.

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Benzinga

Levi Strauss, Tilray Brands And Some Other Big Stocks Moving Lower On Friday

U.S. stocks traded lower, with the Dow Jones dropping more than 400 points on Friday. Here are some big stocks recording losses in today’s session.

Chicago Sun-Times

Nursing home surprise: Medicare Advantage plans covering less time than Medicare covers

Health care providers, nursing home representatives and patient advocates say Medicare Advantage plans increasingly are ending members’ coverage for nursing home and rehabilitation services before patients are healthy enough to go home.

Roll Call

Home health groups fight back against proposed cuts - Roll Call

The proposed cuts are recommended by an advisory commission, but some lawmakers say they would devastate the home health industry.

Axios

Another prospect for an Alzheimer's drug renews cost concerns

But positive clinical trial results also renew the hopes of millions of seniors.

Benzinga

7 Biogen Analysts On Alzheimer's Drug Success As Stock Skyrockets 37%

Shares of Biogen Inc (NASDAQ: BIIB) were flying on Wednesday, after the biopharma company said its experimental Alzheimer’s drug with Japanese partner Eisai showed promising results. RBC Capital Markets On Biogen

Ballotpedia

Federal judge rules in favor of experimental Georgia Medicaid program

U.S. District Judge Lisa Godbey Wood ruled August 19 in favor of Georgia after the Centers for Medicare and Medicaid Services (CMS) rescinded a Medicaid waiver for the state’s Pathways to Coverage program. Georgia brought the lawsuit after CMS under the Trump administration approved the state’s Section 1115 application for…

WEKU

Patient satisfaction surveys fail to track how well hospitals treat people of color

The health care industry is obsessed with consumer satisfaction. But national patient surveys still don't get at an important question: Are hospitals delivering culturally competent care?

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