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The latest health news, scientific trends and medical information, covered in a way that helps you make sense of the complex and constantly changing field of medical knowledge.
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News
Federal Regulators Bar Eleven Medical Equipment Suppliers That Billed Medicare for Beneficiaries Who Had Already Died
3+ day, 13+ hour ago (1028+ words) For families, that detail is the part worth pausing on. Claims filed under a dead relative's Medicare number are not an abstract accounting problem. They generate real paperwork, land in real statements, and are frequently discovered by an adult child…...
Employer Insurance Paid Virginia Doctors 28 Percent More Than Medicaid Managed Care for the Same Preventive Visit
6+ day, 8+ hour ago (980+ words) Employer-sponsored insurance paid Virginia doctors an average of 28 percent more than Medicaid managed care plans for the same routine preventive visit, according to a study published this week in JAMA Health Forum that held the billing code constant across five…...
Medicare's 50 Dollar GLP-1 Price Locks Out Nearly Six Million People Who Have a Qualifying Diagnosis
2+ week, 4+ day ago (881+ words) An estimated 5.9 million Medicare enrollees are shut out of the program's $50 monthly GLP-1 price precisely because they carry a diagnosis the drugs are approved to treat, a quantified figure that had not previously been attached to the pilot's exclusion rules....
Aetna Will Not Pay Brokers on 123 Medicare Advantage Plans in 33 States for Next Year
3+ week, 4+ day ago (763+ words) Aetna will not pay commissions to agents and brokers who enroll new members in 123 Medicare Advantage plans across 33 states for the 2027 plan year, according to the notice the CVS Health subsidiary distributed to third-party marketing organizations last week. The freeze…...
Providence Health Plan Will Close Entirely After a Medicare Advantage Deal Collapsed, Leaving Members to Reshop
3+ week, 5+ day ago (685+ words) The last piece of the Providence Health Plan expected to survive is now closing, too. The Oregon-based insurer said it could not reach an agreement with a national carrier to take over its Medicare Advantage business, and that line will…...