2+ day, 13+ hour ago   (566+ words) Editor’s Note: This article concerns Affordable Care Act Marketplace coverage, not Medicare plan enrollment. That’s significant because CMS says Enhanced Direct Enrollment platforms accounted for approximately 76% of active plan selections during 2026 Open Enrollment. The additional protection is intended to make…...

2+ day, 14+ hour ago   (192+ words) According to CMS, those systems look for abnormal combinations involving testing, results, billing, documentation, and relationships that could indicate fraud, waste, or abuse. The technology can help flag high-risk claims for additional review and potentially allow claims to be held,…...

5+ day, 18+ hour ago   (146+ words) Have you ever found a medical service, test, or piece of equipment on a Medicare statement that you didn’t recognize? Tell us what happened in the comments. 5 Signs That FTC Refund Text or Email Is Real — And 4 Signs It’s a…...

3+ week, 4+ day ago   (443+ words) Costco is entering the Medicare market. The warehouse club (NASDAQ:COST) is partnering with nonprofit SCAN Health Plan to launch co-branded Medicare Advantage plans in three states. The companies announced the expanded partnership Tuesday. The initial markets cover roughly 5 million…...

3+ week, 4+ day ago   (500+ words) The biggest misconception to clear up is that Costco itself is not suddenly replacing UnitedHealthcare, Humana, or other insurers as a Medicare Advantage company. SCAN Health Plan is the insurance partner and is an HMO with a Medicare contract, while…...