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Medicare & Medicaid
Eligibility, parts A‑D, Advantage, dual eligibility, and state program changes.
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Fight Medicaid Waste by Reining In the States
7+ hour, 53+ min ago (22+ words) The feds should treat known waste and ineligible spending that state agencies refuse to clean up the same way they treat fraud....
Alabama Department of Public Health improperly reimbursed $28M in federal vaccine program, audit finds
15+ hour, 47+ min ago (566+ words) MONTGOMERY, Ala. – The Alabama Department of Public Health reimbursed vendors for nearly $28 million worth of unallowable or poorly documented services through its federally funded immunization program, a new audit from the Alabama Department of Examiners of Public Accounts says. That…...
A Cancer Survivor Hoped To Work — Then She Lost Her Medicaid Disability Coverage
4+ hour, 33+ min ago (799+ words) HealthDay...
How Marsha Blackburn is improving access to home health care | Letters
4+ hour, 8+ min ago (196+ words) Editor's note: Letters to the editor reflect the views of individual readers. Scroll to see how you can add your voice, whether you agree or disagree, or click this link to fill out the form. We welcome diverse viewpoints. For…...
Comments Close on Medicare's Plan to Pay for AI Diagnostic Software, and Some Lab Analyses Could Gain Copays
4+ hour, 48+ min ago (894+ words) The proposal is not a coverage decision. It does not add or remove any test from Medicare. It changes how Medicare pays for certain software-based services, and that detail matters to patients because different Medicare payment systems handle patient cost…...
Nicole Saphier’s Surgeon General Nomination Raises Questions About Medical Influencers
4+ hour, 6+ min ago (876+ words) Her large online following could broaden public health outreach, but past posts, product ties, and political pressure are drawing scrutiny. Nicole Saffier’s nomination to serve as U.S. surgeon general could change the way the American government communicates with the public…...
Private equity is cashing in on autism therapy. Children are paying the price.
4+ hour, 18+ min ago (1641+ words) This story was produced by The 74, a non-profit, independent news organization focused on education in America.In February, on orders from the U.S. Department of Government Efficiency, Medicaid officials created a first-of-its-kind online portal containing hundreds of millions of billing records…...
Employers narrow GLP-1 coverage as drug costs dominate budgets
4+ hour, 48+ min ago (248+ words) Business Group on Health surveys show GLP-1 weight-management coverage slipping, with 14% of employers having dropped or planning to drop it by 2027. Employer coverage of GLP-1 weight-loss drugs is contracting as pharmacy budgets absorb double-digit growth: Business Group on Health's latest…...
SC rural hospitals, doctors' offices receive share of $200M in federal funding amid Medicaid cuts • SC Daily Gazette
4+ hour, 15+ min ago (1005+ words) NEWBERRY — New MRI and CT scanners in Newberry. A mobile health van that will provide care in a dozen counties and in natural disaster situations across the state. These are just some of the ways South Carolina plans to spend…...
The fallacy of future medical cost savings
12+ min ago (540+ words) I gave a talk at Memorial Sloan Kettering Direct yesterday about the impact of oncology on employer sponsored health care. I’ll write more on this in upcoming posts. Below is an updated post on how evidence-based cancer screening saves lives…...