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The Latest Breaking News from CMS

Illinois Medicaid contractor Centene Corp. under federal scrutiny over foster kids’ medical care

An Illinois Answers Project investigation found that the insurance giant fell short in providing basic care. Now, federal officials want answers from state agencies overseeing the program.

Chicago Sun-Times

FDA grants fast-track approval to experimental Alzheimer's drug

The FDA approved lecanemab, which has shown to slow the progression of Alzheimer's disease.

Axios

Providers say Medicare Advantage hinders new methadone benefit

In 2018, responding to a wave of overdose deaths, Congress passed legislation requiring Medicare to pay for services at opioid treatment programs for the first time.

Tribune News Service

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Providers say Medicare Advantage hinders new methadone benefit

A new benefit aimed at helping treat opioid use disorder can be hard to access for those who use Medicare Advantage plans, advocates say.

Roll Call

Recruitment Of Maoist Cadres: NIA Files Chargesheet Against 5 Persons

The National Investigation Agency (NIA) has filed a charge sheet against five persons in a case linked to the radicalization and recruitment of innocent youth into the Communist Party of India (Maoist). Read on for details:

Dynamite News

Did Medicare Advantage plans overcharge?

Some Medicare Advantage plans failed to produce any records to justify their payments, government records show

Salon

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

In April 2016, government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical records of patients treated by a podiatry practice whose owner had been indicted for fraud.

Tribune News Service

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Medicare Advantage health plans dodged auditors, overcharged taxpayers millions

A review of 90 government audits reveals the plans have repeatedly tried to get around mandates to document medical conditions the government paid them to treat.

Chicago Sun-Times

The Medicare Advantage plan scandal

Health insurers that issue Medicare Advantage plans have repeatedly tried to sidestep regulations, audits find

Salon

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

A KHN investigation found when some Medicare Advantage plans got a rare federal audit, they couldn't produce billing records for care they said they'd provided. Some blamed fire, flood — or doctors.

WEKU

Pagan nurse files religious discrimination lawsuit

LAS VEGAS — A Las Vegas nurse and self-described pagan has sued the hospital that fired her after it rejected her request for a religious exemption to its COVID-19 vaccination requirement.

Tribune News Service

Older adults face Medicare hurdles for substance use treatment

For the staff at the Senior Recovery Center in Maplewood, Minnesota, helping older adults overcome substance use disorders is a calling, said Christine Martinek, a licensed alcohol and drug counselor there.

Tribune News Service

More panellists revealed for Insider's Business Breakfast

The event in January will feature a keynote speech, panel discussion and Q&A session

Insider UK

New Alzheimer's drug faces uncertain regulatory path

The FDA will soon decide whether to approve Eisai's experimental drug lecanemab.

Axios

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Roll Call

Older adults face Medicare hurdles for substance use treatment - Roll Call

Only 6 percent of Medicare beneficiaries 65 and up reporting alcohol or substance use disorder received treatment, according to research.

Ballotpedia

Republican attorneys general file petition to repeal vaccine mandate for healthcare workers

Twenty-two attorneys general filed a petition on November 17, 2022, requesting the Biden administration to repeal the vaccine mandate for healthcare workers. The Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on November 5, 2021, requiring healthcare workers to receive the COVID-19 vaccine. The interim rule…

Tribune News Service

Audits — hidden until now — reveal millions in Medicare Advantage overcharges

Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans for seniors, with some plans overbilling the government more than $1,000 per patient a year on average.

Tribune News Service

Path cleared for Georgia to launch work requirements for Medicaid

Georgia is set to become the only state to have work requirements for Medicaid coverage.

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WEKU

Hidden audits reveal millions in overcharges by Medicare Advantage plans

Taxpayers footed the bill for care that should have cost far less, according to records released under the Freedom of Information Act. The U.S. government may charge insurers $650 million as a result.

Salon

The Medicare insulin price cap explained

A cut in drug prices for some Medicare beneficiaries kicks in next year, but finding those savings isn't easy

Tribune News Service

Medicare plan finder likely won’t note new $35 cap on out-of-pocket insulin costs

A big cut in prescription drug prices for some Medicare beneficiaries kicks in next year, but finding those savings isn’t easy.

Salon

Hospital probed after denying abortion

In the wake of Missouri's abortion ban, one hospital is in hot water after denying an essential abortion

Tribune News Service

Medicare phone scammers want to slash your benefits and leave you with fewer in-network providers

You answer the phone and you’re greeted by a weird tone, followed by a few seconds of silence.

The Independent UK

Medicare enrollees warned about deceptive marketing schemes

With Medicare’s open enrollment underway, health experts are warning older adults about an uptick in misleading marketing tactics that might lead some to sign up for Medicare Advantage plans that don’t cover their doctors or prescriptions and drive up their out-of-pocket costs

Ballotpedia

Hall Pass: Your Ticket to Understanding School Board Politics, Edition #36

Welcome to Hall Pass, a newsletter written to keep you plugged into the conversations driving school board politics and governance.

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