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News
Federal Regulators Bar Eleven Medical Equipment Suppliers That Billed Medicare for Beneficiaries Who Had Already Died
3+ day, 4+ 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…...
Medi-Cal Home Care Changes: What Happens To Patients In 2027?
3+ day, 10+ hour ago (688+ words) An El Segundo-based home care company is laying off 738 healthcare workers across California, with layoffs scheduled to begin Sept. 15. But the bigger story may not be the jobs being lost. It is what happens to the Medi-Cal patients who depend…...
‘Tsunami’ of Behavioral Health Challenges Amid OIG’s Anti-Psychotics Work Plan Seen Impacting QMs and Reimbursement in Nursing Homes
4+ day, 16+ hour ago (1207+ words) luisda75 / Pixabay | CC0 Nursing homes have only reached the tip of the iceberg when it comes to mental health challenges in the sector, with such challenges affecting quality metrics (QMs) and reimbursement amid renewed monitoring of anti-psychotics use in facilities. Lisa Chubb,…...
More states outsource Medicaid coverage of long-term services
5+ day, 4+ hour ago (36+ words) Modern Healthcare More states outsource Medicaid coverage of long-term services The Institute for Digital Healthcare Transformation aims to speed the development of digital health tools for underserved communities....
State employee health plan to require members to cover more costs next year
1+ week, 3+ day ago (430+ words) HELENA — Big changes are coming for the nearly 30,000 Montanans who get their health insurance through the state employee health plan. Last week, plan members received word from the Montana Department of Administration that, starting next year, they will have to…...
Understanding the Difference Between OPD and IPD When Using a Digital Calculator for Health Insurance
1+ week, 5+ day ago (396+ words) Let’s break down what OPD and IPD actually mean, why the distinction matters, and how it changes what you should be looking for when you run your numbers. Before anything else, it is worth being clear about these two terms,…...
A Look Inside The Expanded Partnership Between SCAN And Costco
2+ week, 4+ day ago (686+ words) SCAN Group and retailer Costco are expanding their partnership by launching new co-branded Medicare products. The initial plans include a Medicare Advantage plan available in two states and Medicare supplement coverage in a third. The companies said the launch makes…...
Influx of Nursing Home Admissions Expected as California Medicaid Benefit Ends
2+ week, 5+ day ago (421+ words) Nursing homes may be impacted by a health insurer’s decision to cut benefits for 3,500 low-income seniors in California, with the latest extensions for the program going through Dec. 31. Health Net has announced a cut to assisted living benefits in the…...
Health funds propose doubling Medicare levy surcharge for high-income earners without private insurance
2+ week, 6+ day ago (110+ words) Insurers call for high earners without health cover to pay more tax AFR Almost one million high-income Australians would pay thousands of dollars more in tax penalties for not having private hospital insurance under a proposal by health funds opposed…...
Costco makes surprise move into Medicare
3+ week, 7+ hour ago (431+ words) Retailers are increasingly extending familiar services into areas once handled mainly by specialist providers. One forthcoming program remains limited in scope and dependent on regulatory approval. Costco is preparing to co-brand Medicare insurance products with nonprofit health insurer SCAN Group,…...