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The Latest Breaking News from Medicare Advantage

Senators Demand Records from Three Medicare Advantage Insurers on How Post-Hospital Care Gets Denied

Blumenthal and Hawley demanded records from UnitedHealthcare, Humana and CVS on AI use in denying post-hospital rehab care for Medicare patients.

Medical Daily

Waiting on a Wheelchair or Home Oxygen? Six Questions to Ask Your Supplier Before Medicare's October Rules Start

New Medicare paperwork rules for wheelchairs, ventilators and oxygen start October 28. Here is what to ask your equipment supplier to avoid delivery delays.

Medical Daily

Medicare Will Require a Documented Doctor Visit Before Delivering Home Ventilators and Most Wheelchairs Starting October 28

CMS added home ventilators, eight wheelchair codes and an oxygen system to Medicare's face-to-face and written order list, effective October 28.

Medical Daily

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Medicare Will Start Counting Advantage Patients in Hospital Quality Scores, Closing a Gap That Left Out Half the Program

CMS finalized changes adding Medicare Advantage patients to hospital mortality and readmission measures, which have largely relied on fee-for-service claims.

Medical Daily

Free Transportation Programs Older Adults Can Request Before Medical Appointments

Missing a doctor’s appointment isn’t always about forgetting the date. For many older adults, the biggest challenge is simply getting there. Maybe you no longer...

Saving Advice

One in Three U.S. Communities Has No Preferred Medicare Pharmacy, and That Gap Changes What Seniors Pay

One in three U.S. ZIP code areas lacks a preferred Medicare pharmacy, a new study finds. Here is how that gap changes what seniors pay.

Medical Daily

A Medicare Prior Authorization Pilot Has Run in Six States Since January Without Most Patients Knowing

A CMS pilot has applied prior authorization to some Original Medicare procedures in six states since January. How to tell if it affected you.

Medical Daily

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Federal Indictment Says Medicare Patients Got Years of Eye Tests That No One Read

A federal indictment alleges Medicare patients received unnecessary eye tests from 2015 to 2023. What older patients should check on their statements.

Medical Daily

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

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

Federal Watchdog Recovered $5.56 Billion in Healthcare Fraud and Banned 1,212 Providers from Medicare

The HHS OIG recovered $5.56 billion in healthcare fraud from October 2025 to March 2026 and banned 1,212 providers from Medicare. Here is what the report means for patients.

Medical Daily

What a 214,000-Person Study Reveals About Dementia Risk: Where You Live Changes What You Should Prevent First

A 214,000-person study in 14 countries finds dementia risk factors differ sharply by region. USC-led research challenges one-size-fits-all prevention approaches.

Medical Daily

How to Check Your Medicare Claim Status Online

Waiting for a Medicare claim to process can be frustrating, especially if you’re wondering whether a doctor’s visit, hospital stay, or medical test has been...

Saving Advice

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Saving Advice

Don’t Throw Away This Medicare Letter—It Could Change Your Coverage Next Year

Every fall, millions of Medicare Advantage and Part D members receive a thick envelope that looks like routine insurance paperwork. Many people set it aside...

Medical Daily

Medicare's New $50 GLP-1 Weight-Loss Program Just Launched: Find Out if You Qualify

Medicare's GLP-1 Bridge launched July 1, 2026. Up to 3.8M seniors may qualify for $50/month Wegovy, Zepbound, or Foundayo. Here's the eligibility breakdown.

Medical Daily

Medicare's New $50 Weight Loss Drug Program Starts July 1 — but the Fine Print Could Surprise You

Medicare's GLP-1 Bridge starts July 1, 2026, with $50/month copays. But there are major fine-print limitations seniors need to know before signing up. Here's what to check.

Medical Daily

Mental Health Is Now the Top Telehealth Diagnosis Across Every U.S. Age Group and Region New FAIR Health Data Show

FAIR Health Q1 2026 data show mental health is the top telehealth diagnosis in every U.S. age group and region, with 52.1% of patients receiving mental health diagnoses.

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The Free Financial Advisor

Medicare Advantage Plans Are Quietly Cutting Benefits Mid-Year in Several States

Across several U.S. states, Medicare Advantage enrollees face an unsettling shift as insurers adjust benefits well after open enrollment closes. Seniors who carefully selected plans based on dental coverage, transportation perks, or grocery allowances now notice those perks shrinking or disappearing entirely. Insurance companies continue to tweak plan details mid-year,…

The Free Financial Advisor

Original Medicare vs. Advantage: More Retirees Are Switching Back — And Here’s Why

Healthcare decisions in retirement keep getting more complicated, and the stakes feel higher than ever. Many retirees once rushed into Medicare Advantage plans because of low premiums and extra perks that sounded too good to pass up. Now, a growing number of them are reversing course and returning to Original…

Saving Advice

Why Medicare Skips Dental, Vision, and Hearing — and What Fills the Gap

Many Americans are surprised to discover that Medicare does not cover some of the health services they use most often. After decades of paying into...

Saving Advice

3 Million Seniors Lost Their Medicare Advantage Plan in 2026: 7 Moves to Make Before Your Coverage Lapses

Millions of Medicare beneficiaries received an unpleasant surprise heading into 2026. Approximately 2.9 million Medicare Advantage enrollees were forced to find new coverage after insurers...

Saving Advice

Texas Seniors Dropped From Medicare Advantage Have Until This Deadline to Avoid a Coverage Gap

For thousands of Texas seniors, a letter from their Medicare Advantage provider can create immediate anxiety. Some plans are being discontinued, while others are withdrawing...

inkl

Medicare Billing for Nursing Home Stays Is Trickier Than It Looks

Medicare covers lots of care for older adults. Yet, the rules for skilled nursing stays shock many families and stress out the staff dealing with paperwork. Each stay may go through different coverage stages, with unique billing needs too.

Roll Call

Prior authorization bill now eligible for House fast track

Legislation aimed at reducing delays when Medicare Advantage plans require preapproval for care could hit the House floor under fast-track rules for bills that have broad support. The bill, sponsored by Rep. Mike Kelly, R-Pa., targets use of prior authorization in Medicare Advantage — in which insurers approve or deny services…

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