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News
Medicare 101 – Know your options
23+ hour, 56+ min ago (144+ words) Medicare can be confusing, especially with the many choices, enrollment periods and costs that come with it. Plus 60 will offer Medicare 101, a free informative seminar designed to help seniors better understand their Medicare options. A University of Iowa Hawkeye Marching…...
She's 65 and on Her Husband's Company Plan. It's Had 12 Employees for Years, and That Makes Medicare Primary Whether or Not She Enrolls.
1+ day, 5+ hour ago (843+ words) She has creditable coverage, her husband is still working, and she hasn't missed a single enrollment deadline. A quirk buried in Medicare's coordination-of-benefits rules means her medical bills could still leave her on the hook for tens of thousands of…...
Ola Health Pricing Explained: What the $399 Prepaid Plan Costs Monthly
1+ day, 12+ hour ago (1550+ words) Shop all 5 Weight Loss programs → Compare GLP-1 providers → Start Weight Loss intake → Shop all 5 Longevity programs → Start Longevity intake → GLP-1 & Peptide Pathways Food Sensitivity & Allergies Diet & Weight Loss Cognition and Brain Health Genetic Test Stress and Mental Health Genetic Test…...
Toni Says: Qualifying for a Medicare Supplement guaranteed issue policy
1+ day, 15+ hour ago (254+ words) I have decided to retire in October when I turn 65 and will need to enroll in Medicare Parts A and B. My husband, Paul, is 76 and was enrolled in Medicare Parts A and B on March 1, 2011, when he qualified for Social…...
How Medical Denial Management Actually Works (And Why Most Practices Get It Wrong)
1+ day, 21+ hour ago (31+ words) Claim denials cost healthcare practices more than most providers realize — not just in lost revenue, but in staff …...
His Hospital Closed on 70 Hours' Notice. Whether He Can Leave His Advantage Plan Early Turns on Whether He Was Ever a Patient There.
2+ day, 5+ hour ago (658+ words) Sturgis Hospital closed with barely three days' notice, and now a Medicare Advantage enrollee ten minutes away wants out of his plan before flu season. Whether federal rules give him that exit depends entirely on a single fact most people…...
GU Provider Alters Tuition Insurance Plans, Reduces Payout for Physical Health Absences
3+ day, 13+ 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…...
Medicaid Risk Contracts in New ACO LEAD Model
3+ day, 23+ hour ago (223+ words) Integrated care programs for dual-eligible beneficiaries, including ACO LEAD, aim to incentivize efficient care delivery while preventing unintended cost shifting between Medicare and Medicaid. How LEAD calculates shared savings and losses will be central to achieving both goals. First, a…...
Half of Medicare Advantage stars thresholds harder to reach in 2027
4+ day, 26+ min ago (1387+ words) The CMS released draft star ratings, including the thresholds for reaching those ratings, to plans earlier this week. The grading sheet got stricter, which doesn’t bode well for insurers. Medicare Advantage insurers could see their star ratings fall next year…...
The Uncertain Future of Medicare Part D and Options for Reform
4+ day, 22+ hour ago (1677+ words) Therefore, despite a rising Medicare population, PDP enrollment has stagnated over the past decade (Figure 1). In 2025, 18.6 million beneficiaries enrolled in non-group PDPs compared to 28.6 million in MA-PDs. An additional nine million beneficiaries were enrolled in group PDPs or MA-PDs, which…...