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News
CMS Is Targeting Unauthorized Health Insurance Enrollments—Here’s What Consumers Should Check
3+ day, 15+ 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…...
Advantage Plans Said No 4.1 Million Times in 2024. Four in Five Appeals Won. Nine in 10 Denials Were Never Appealed.
3+ day, 17+ hour ago (629+ words) Medicare Advantage plans denied millions of prior authorization requests last year, and most patients accepted that answer without a fight. What happened to the ones who pushed back reveals something uncomfortable about how those first decisions get made. The Full…...
Failure to enroll in Medicare Part D results in costly penalty
3+ day, 19+ hour ago (671+ words) It is wise to verify every year that your prescription drugs are covered on your Medicare Part D plan. Dear Toni: I applied for a Medicare Part D plan in July and was denied. Medicare advised me to apply for…...
The Case for ‘Medicare at Cost’
4+ day, 27+ min ago (19+ words) Governing Internet Explorer 11 is not supported The Case for ‘Medicare at Cost’...
Is Humana Stock Outperforming the Dow?
4+ day, 17+ hour ago (327+ words) Humana’s stock reached a 52-week high of $428.88 on July 16, but is now down 6% from this high. It had reached a 52-week low of $163.11 on Mar. 20, but is now up 147.1% from this low. Over the past three months, the company’s stock…...
What You Must Know About the Different Parts of Medicare
4+ day, 6+ hour ago (840+ words) Medicare can be complicated, but we've got you covered. Here's a quick guide to the different benefits provided through each part. Medicare can be complicated, especially if you are a new enrollee or someone reviewing their plan during the Medicare…...
A “Win-Win-Win”: The Case for Federalizing Medicare Support for Low-Income Seniors
4+ day, 12+ hour ago (123+ words) The Century Foundation The Century Foundation A new Milbank States of Health blog by TCF staff describes a reform idea that would help both low-income Medicare beneficiaries and state Medicaid programs. It would shift the responsibility for payment of Medicare…...
These are the ‘parts’ of Medicare: What you need to know about eligibility and enrollment requirements
4+ day, 16+ hour ago (321+ words) The federally funded healthcare insurance program Medicare is made up of four parts that give enrollees a variety of coverage. Medicare was established in 1965 and since then millions of Americans have enjoyed coverage under the federally funded health insurance program....
A Medicare policy designed to encourage certain business arrangements produced unexpected results
4+ day, 16+ hour ago (393+ words) "The exclusion bar can be for the rest of your lifetime or for several years, but it effectively halts your ability to participate," said Alice Harris. Terry Gerton The Health and Human Services Department recently delegated one of its powers…...
There Is No Medicare Appeal When a Medigap Insurer Says No at 72. No Federal Form, No Hearing, Just the Next Company’s Application.
4+ day, 17+ hour ago (744+ words) When a Medigap insurer declines your application at 72, the federal appeals process that protects Medicare Advantage enrollees simply does not exist here, and the path forward depends on a sequence most applicants get dangerously wrong. The Full Benefits Desk desk....