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News
Medicare open enrollment starts Oct. 15; changes may require seniors to pick a new plan
20+ hour, 20+ min ago (581+ words) MICHIGAN., (WPBN/WGTU) -- October 15 could be a day with some surprises for folks here in Michigan. That's when Medicare open enrollment starts and for tens of thousands of those over 65, October 15 might be the day they realize the Medicare health…...
She Spent 3 Nights in the Hospital and Was Never Admitted. The Hospital Billed Her for the Daily Pills Part B Wouldn't Cover.
1+ day, 17+ hour ago (561+ words) Three nights in a hospital bed, a chest workup, and a stack of daily pills later, her Medicare card turned out to cover far less than she expected, and the reason had nothing to do with her diagnosis. The Full…...
29 Health Systems Dropping Medicare Advantage Plans
6+ day, 1+ hour ago (872+ words) The number of terminated contracts this year is down from 40 in 2025 and 32 in 2024, Becker’s Hospital Review reported on Sept. 4. Naples Comprehensive Health, one of the top 50 U.S. hospitals, will go out of network with Centene’s Wellcare and Health Care Service…...
Your Advantage Plan's Star Rating Counts Appeals Timing and Members Lost. CMS Just Decided to Drop Both.
2+ day, 2+ hour ago (734+ words) CMS just quietly removed two Medicare Advantage star measures that reveal what happens when your plan says no. Before they vanish from the scorecard, here is what those numbers actually show and how long you have left to use them....
How Medical Denial Management Actually Works (And Why Most Practices Get It Wrong)
1+ day, 22+ hour ago (31+ words) Claim denials cost healthcare practices more than most providers realize — not just in lost revenue, but in staff …...
Dana-Farber Is Leaving a Medicare Advantage Network Oct. 1. Cancer Patients Face a Dec. 7 Decision About Their 2027 Care
2+ day, 8+ hour ago (584+ words) Most cancer patients facing a Medicare Advantage network change will watch the wrong deadline and pay for it. The date that actually protects your 2027 coverage sits weeks before the one everyone assumes. The Full Benefits Desk desk. Editor: Gerelyn Terzo....
Cardiology Societies Back Expanded Medicare Coverage for Valve Replacement
2+ day, 15+ hour ago (893+ words) In a significant moment for structural heart medicine, three of the world’s leading cardiovascular organizations have come together to endorse a major shift in how Medicare covers one of the most transformative cardiac procedures of the past two decades....
Can Centene's Medicare Advantage Strategy Unlock Better Margins?
3+ day, 12+ hour ago (280+ words) Centene Corporation CNC is reshaping its Medicare Advantage ("MA") business by simplifying its plan footprint and placing greater emphasis on dual-eligible members. The strategy aims to improve the quality of its MA portfolio while better aligning resources with markets and…...
GU Provider Alters Tuition Insurance Plans, Reduces Payout for Physical Health Absences
3+ day, 14+ hour ago (1048+ words) Georgetown University students’ tuition insurance will no longer distinguish between mental and physical health-related absences for the 2026-27 academic year. Julia Strimling (SON ’26) — who took a mental health-related leave of absence in Spring and Fall 2024 and launched a petition calling for…...
Guest Commentary | ‘Prior authorization’ remains a pain point for physicians, patients
3+ day, 16+ hour ago (382+ words) Physicians devote the early part of their careers to education and training. They spend years honing and refining their clinical skills through medical school, internships, residencies and fellowships. Finally, they are ready and eager to step out on their own…...