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The Latest Breaking News from CMS

Medicare’s 72-Hour Decision Rule Begins Now: What Seniors Must Know About Faster Approvals and Denials

Millions of seniors enrolled in Medicare Advantage plans have spent years frustrated by delayed prior authorization decisions for medical care, scans, procedures, and treatments. Some...

Saving Advice

Vance’s Medicare crackdown just froze billions in hospice care, but the scheme it uncovered is far darker than a simple billing scam

Vice President J.D. Vance’s Medicare fraud task force just froze billions in hospice care payments, slamming the brakes on new providers nationwide for the next six months. The move, announced on May 13, 2026, is the sharpest crackdown yet on what officials are calling a crisis of exploitation — one…

The Mary Sue

AxoGen Says Nerve Repair Strategy Intact as Reimbursement Wins Gather Steam

AxoGen (NASDAQ:AXGN) President and CEO Michael Dale said the company’s growth strategy remains centered on developing the market for peripheral nerve repair, while recent reimbursement wins are expected to be positive but have not yet been quantified. Speaking during a company event, Dale said he w

MarketBeat

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PACS Group Q1 Earnings Call Highlights

PACS Group (NYSE:PACS) reported a strong start to 2026, with executives citing higher occupancy, improved skilled mix and continued progress integrating acquired facilities as drivers of first-quarter performance. On the company’s earnings call, Chairman and CEO Jason Murray said PACS entered the y

MarketBeat

Trump Wages $1.3 Billion Medicaid War on California and Warns All States Face Total Funding Suspension

The Trump administration has withheld $1.3 billion in Medicaid payments to California and imposed a nationwide freeze on new Medicare provider enrolments, citing healthcare fraud concerns.

International Business Times UK

JD Vance threatens health funding to states that don’t comply with White House anti-fraud effort

Medicare has already paused hospice and home healthcare agency signups as potential fraud is investigated

The Guardian - US

Sanuwave Health Q1 Earnings Call Highlights

Sanuwave Health (NASDAQ:SNWV) reported record first-quarter revenue and rising consumables utilization, while management said the advanced wound care market began to recover after a difficult start to the year tied to changes in reimbursement for skin substitutes. Chairman and CEO Morgan Frank said

MarketBeat

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Trump administration freezes new Medicare enrollments for hospice and home health agencies

The Trump administration is expanding its fraud-busting initiative in federal health programs

The Independent UK

Healthcare Outsourcing Philippines: Why Agentic AI Demands Human Expertise, Not Replacement

Inside the $423+ Billion Global Healthcare Outsourcing Market: How Philippine Clinical Talent Is Solving the Crisis That Autonomous AI Cannot

Medical Daily

Nyxoah Q1 Earnings Call Highlights

Nyxoah (NASDAQ:NYXH) reported 13% sequential worldwide net revenue growth in the first quarter of 2026, driven primarily by continued adoption of its Genio system in the United States, where the company is in its second full quarter of commercialization. Chief Executive Officer Olivier Taelman said

MarketBeat

Fractyl Health Q1 Earnings Call Highlights

Fractyl Health (NASDAQ:GUTS) said it remains on track to report pivotal data for its Revita therapy in early fourth quarter 2026, as management highlighted clinical, regulatory and reimbursement developments during the company’s first-quarter 2026 earnings call. Chief Executive Officer Dr. Harith R

MarketBeat

SiBone Q1 Earnings Call Highlights

SiBone (NASDAQ:SIBN) raised its full-year 2026 outlook after reporting double-digit revenue growth in the first quarter, with management pointing to new product launches, expanding physician adoption, international momentum and a proposed Medicare reimbursement change as key drivers for the year ahe

MarketBeat

The New Medicare Coding Change Confusing Pharmacies Across Multiple States

You likely walk up to the pharmacy counter thinking that it’ll be nothing more than a routine prescription refill. However, many seniors are experiencing more...

Saving Advice

OPAL Fuels Q1 Earnings Call Highlights

OPAL Fuels (NASDAQ:OPAL) said it remains on track to meet its full-year 2026 guidance despite lower first-quarter revenue and adjusted EBITDA, as management pointed to improving renewable natural gas production, stronger environmental credit pricing and growing interest from heavy-duty trucking flee

MarketBeat

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Saving Advice

Thousands of Seniors May Not Qualify for Medicare’s New Weight-Loss Coverage

For many older Americans struggling with obesity, Medicare’s new GLP-1 weight-loss coverage sounded like long-awaited relief. Drugs like Wegovy and Zepbound have dominated headlines because...

Saving Advice

The New $50 Medicare Weight-Loss Drug Program Has a Catch for Low-Income Seniors

For years, many older Americans watched popular weight-loss drugs like Wegovy and Zepbound dominate headlines while remaining financially out of reach. Monthly costs for GLP-1...

Fortune

Auto-enrollment in Medicare Advantage isn't a nudge. It's a trap

I research health policy for the Center for American Progress. Auto-enrollment is privatization by inertia.

Medical Daily

Healthcare Outsourcing Philippines: Why Agentic AI Demands Human Expertise, Not Replacement

Inside the $423+ Billion Global Healthcare Outsourcing Market: How Philippine Clinical Talent Is Solving the Crisis That Autonomous AI Cannot

Get all your
news in one place.

100's of premium titles.
One news app.

Saving Advice

8 Weight-Loss Drugs Covered by Medicare’s New GLP-1 Bridge

Among seniors with diagnosed diabetes, roughly 20.8% are using GLP-1 injectables. It is a key part of addressing their health concerns. While the weight loss...

Saving Advice

Medicare Fraud Alert: The ‘New Number’ Phone Scam Targeting Seniors After Recent CMS Data-Breach Headlines

Imagine a retiree named Linda who hears about a Medicare data breach on the news. A few days later, she receives a call claiming her...

Saving Advice

Medicare Modernization Trap: Why the New Online “Senior Doctor Directory” Raises Fresh Data-Privacy Concerns

The promise sounded simple: a one-stop online directory where seniors could easily find doctors who accept their Medicare plan. But now, that convenience came with...

Saving Advice

CMS Federal System Alert: How a Recent Medicare Portal Issue Exposed Some Provider Identification Data in 2026

A federal system designed to help seniors find doctors is now raising serious questions about data security. In 2026, a Medicare portal managed by the...

International Business Times UK

Trump Administration Inadvertently Exposed Healthcare Providers' Social Security Numbers in Publicly Accessible Database

A security breach in a federal health portal exposed Social Security numbers of healthcare providers, raising concerns about identity theft and data security.

TechRadar

Error in Medicare database exposes US healthcare providers Social Security numbers – Trump administration directory designed to modernize Medicare encounters another setback

A Trump administration directory designed to help seniors find healthcare inadvertently exposed Social Security numbers.

Latin Times

Rural Hospitals Warn 50 Billion Dollar Federal Fund Will Not Offset Medicaid Cuts

A new $50 billion federal program billed as a rescue plan for rural health care is beginning to reshape medical access across the United States, but community clinics and rural hospitals warn that the money may flow more easily to technology vendors and large contractors than to the providers struggling…

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