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Latest Articles
CMS Expands Joint-Replacement Payment Model Nationwide
44+ min ago (308+ words) WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services will require most eligible hospitals to participate in a national episode-based payment model for hip, knee and ankle replacements beginning in January 2028, expanding Medicare’s use of financial incentives tied to costs and recovery…...
UnitedHealthcare eyes more Medicare Advantage exits
44+ min ago (26+ words) Modern Healthcare UnitedHealthcare eyes more Medicare Advantage exits Net income soared and revenues increased across all segments for CVS Health....
UCare plans layoff of 100+ remote workers as operations wind down
3+ hour, 14+ min ago (355+ words) UCare has started alerting customers that they will need to transition to a different plan before the end of the year, leaving thousands of members looking to find new Medicare supplement coverage. (FOX 9) - UCare announced the permanent layoff of 102 workers…...
Abdul El-Sayed Won: Revisiting the Democratic Establishment’s Medicare for All Problem
2+ hour, 37+ min ago (757+ words) scheerpost.com Abdul El-Sayed Won: Revisiting the Democratic Establishment’s Medicare for All Problem From Gavin Newsom in California to Gretchen Whitmer in Michigan, the debate over Medicare for All continues to expose the tension between campaign promises, corporate influence, and…...
Senate Democrats seek changes to the US health insurance system
3+ hour, 30+ min ago (698+ words) Senate Finance Committee Ranking Member Ron Wyden, D-Oregon, and other Senate Democrats released a Request for Information last week setting out proposed changes to the US health insurance system. The document seeks stakeholder feedback and aims to shape a future…...
US Health Insurance Transparency for Patients Act targets health insurance denial reporting
3+ hour, 38+ min ago (570+ words) Patients in the US health insurance market might soon see more data on how often insurers reject coverage requests. U.S. Rep. Ashley Hinson, R-Iowa, introduced the Health Insurance Transparency for Patients Act, a proposal aimed at making denial patterns easier for…...
Letter: Questions abound about HMSA???s big payout shift
9+ hour, 42+ min ago (203+ words) Letter: Questions abound about HMSA’s big payout shift Honolulu Star-Advertiser Wednesday, August 5, 2026 78° Today's Paper Letter: Questions abound about HMSA’s big payout shift Select an option below to continue reading this premium story. From as low as $12.95 /mo. HMSA’s accelerated shift…...
Medicare/Medicaid Conference Aug. 6
6+ hour, 3+ min ago (108+ words) A Medicare/Medicaid Conference is planned today (Thursday) at the Crawford County Commission on Aging. The goal of the conference is to educate members on how Medicare and advantage/supplemental plans work, who the first party payer is, who pays…...
Colorado woman was denied medical coverage because her name is too long — now bills are piling up. How to fight a denial
33+ min ago (614+ words) A simple paperwork mismatch can snowball into denied care and mounting debt. Here’s why insurance claim problems are so common, and what patients can do....
Complete Health to pay $14M to settle Medicare Advantage fraud allegations
5+ hour, 8+ min ago (439+ words) The value-based primary care provider submitted false diagnosis codes to the CMS for three years, inflating its reimbursement by millions of dollars, according to the DOJ. In MA, the government pays insurers a fixed payment per member each month that’s…...