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Latest Articles
Ronald Chen: The Burden of Prior Authorization in Cancer Care - OncoDaily
26+ min ago (268+ words) Ronald Chen, Professor and Chair of the Department of Radiation Oncology at the University of Kansas Medical Center, shared on LinkedIn: ”It’s not uncommon for insurance companies to deny medically-necessary cancer treatment for a patient. It’s a burden for both…...
Prior authorization denials vary widely among insurers, first-of-its-kind data shows
32+ min ago (367+ words) KFF analyzed new federal prior authorization data and found significant variation in how insurers handle requests across Medicare Advantage, Medicaid, and the ACA markets. The CMS issued a final rule in 2024 aimed at streamlining prior authorization processes for insurers. Although…...
Medicare Part B Premiums Rise With Income. The Planning Mistakes That Trigger Higher Costs
1+ hour, 7+ min ago (937+ words) Medicare Part B premiums range from $203 to $690 monthly based on income earned two years prior, blindsiding retirees who missed the connection. Seven common moves can push retirees over IRMAA thresholds and spike premiums two years later, including Roth conversions, selling…...
Insurer Denials Rise In Medicare Advantage, Medicaid, And Obamacare Plans
1+ hour, 15+ min ago (118+ words) iHeart The federal government now requires insurers to publish these prior authorization figures as part of a push for greater transparency and accountability. The Centers for Medicare and Medicaid Services (CMS) began mandating public reporting of these metrics in 2026 as…...
Providence to wind down health plan after Medicare deal fails
1+ hour, 5+ min ago (39+ words) Modern Healthcare Providence to wind down health plan after Medicare deal fails Providence's insurance division had looked to partner with a national carrier to continue its Medicare Advantage operations....
2,500 Medicare Advantage patients may lose Cooley Dickinson primary care coverage Oct. 1
1+ hour, 6+ min ago (597+ words) NORTHAMPTON — Around 2,500 area residents with Blue Cross Blue Shield Medicare Advantage are being notified that their insurance will no longer cover primary care providers affiliated with Cooley Dickinson Hospital beginning Oct. 1. Even though many people this month are receiving letters…...
Her Medicare Rehab Coverage Ended on Day 100. The Nursing Home's Next Invoice Was $11,000. Monthly, Open-Ended.
1+ hour, 26+ min ago (425+ words) Medicare SNF coverage vanishes after day 100, leaving families to pay the $355/day private rate with no cap, which adds up to over $11,000 monthly. Hospital observation stays don't count toward Medicare's required 3-day inpatient threshold, and benefit days don't reset on…...
Musings for Friday - Question For The Old Farts. How Many of You Were Recently Issued a New Medicare Card?
1+ hour, 59+ min ago (191+ words) Daily Kos This content is not subject to review by Daily Kos staff prior to publication. I was. Back in the Spring. It was supposed to take effect on my birthday. Now, I have BCBS Medicare Advantage. (I’m not here…...
Medicare Open Enrollment Is Two Months Away — 7 Things You Can Start Gathering Now
4+ hour, 6+ min ago (142+ words) What information do you always gather before comparing Medicare plans, and what’s one thing you wish you’d checked during a previous Open Enrollment? Share your experience in the comments. 2027 Medicare Costs: What We Know Now—and What Seniors Are Still…...
Medicare Open Enrollment Is 2 Months Away: 5 Key Moves to Make Now to Prepare - AOL
4+ hour, 26+ min ago (754+ words) As summer winds to a close, it's time to note that Medicare open enrollment is almost upon us. The annual open enrollment period runs from Oct. 15 and Dec. 7, with any changes going into effect on Jan. 1, 2027. This is the one…...