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The Latest Breaking News from CMS

The “Ghost Network” Warning: Why Your 2026 Medicare Directory is 30% Inaccurate This Week

If you’ve spent the last week calling “In-Network” specialists from your 2026 Medicare Advantage directory only to be told they “don’t take that insurance,” you...

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6 Medicare Part B Cost Changes Affecting Specialist Visits

For most retirees, a trip to a specialist—whether it’s a cardiologist, an oncologist, or an orthopedist—is a high-stakes event. These visits often involve complex testing,...

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The “WISeR” Gatekeeper: 6 States Where AI Now Decides If Your Medicare Surgery Is ‘Necessary’

For decades, the biggest difference between “Original” Medicare and private Medicare Advantage plans was the lack of red tape. In the traditional program, if your...

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CMS Energy's Q4 2025 Earnings: What to Expect

CMS Energy is scheduled to announce its fourth-quarter results soon, with analysts anticipating a double-digit earnings growth.

Barchart

7 Medicare Billing Codes Triggering Unexpected Charges

If you’ve opened a medical bill this month and noticed a charge for a service you don’t remember receiving, you aren’t alone. In 2026, the...

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7 Medicare Advantage Plan Changes That Affect Specialist Access

As we enter 2026, the “Golden Age” of unrestricted specialist access in Medicare Advantage is coming to an abrupt end. While the federal government is...

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7 Hospital Departments Now Billing Separately

If you spent an afternoon at a hospital-based clinic this month, you might be surprised to find three or four separate envelopes in your mailbox....

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5 Medical Billing Errors That Appear After System Updates

In the first week of 2026, healthcare providers across the country finished a massive wave of mandatory software updates to comply with the latest CMS...

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6 Medicare Premium Changes to Prepare for in Early 2026

January is when a lot of “set it and forget it” Medicare costs quietly reset, and that can throw off your budget fast. Even if...

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Hospitals Are Adjusting Observation Status Rules Again

If you find yourself in a hospital bed this year, the most important question you can ask isn’t “How am I doing?” but “Am I...

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Medical Supply Contracts Are Being Renegotiated at Patient Expense

If you use a CPAP machine, a wheelchair, or diabetic testing supplies, you may have noticed a sudden change in the brand or the cost...

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After judge's ruling, HHS authorized to resume sharing some Medicaid data with deportation officers

The nation’s health department can resume sharing the personal data of certain Medicaid enrollees with deportation officials

The Independent UK

Medical Offices Are Charging New “Care Coordination” Fees

If you see a new monthly charge on your doctor’s bill labeled “Chronic Care Management” or “Care Coordination,” you are seeing the result of a...

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6 Imaging Services Seniors Are Paying More For Than Expected

Entering 2026, the cost of “looking inside” is rising faster than almost any other outpatient service. While many seniors were prepared for the standard inflationary...

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Home Health Visit Limits Are Being Recalculated This Year

If you rely on a visiting nurse or physical therapist, you may find that your “approved” number of visits is smaller this month than it...

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5 Lab Services Billed Separately Instead of Bundled

If you’ve noticed a new, separate line item on your medical bill for a simple blood draw or “specimen collection,” you aren’t imagining things. As...

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7 Medicare Appeals That Take Longer to Process in the First Quarter

If you’re waiting for a decision on a medical claim this winter, you might feel like your paperwork has disappeared into a black hole. While...

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Turning 65 This Year? 7 Medical Costs Medicare Won’t Cover After Enrollment Starts

Turning 65 in 2026 is a major financial milestone, often viewed as the moment you finally escape the high premiums of the private insurance market....

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6 Preventive Services Now Counted Toward Deductibles

The phrase “preventive care is free” has been a cornerstone of American healthcare for over a decade, but the 2026 financial reset is adding some...

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Hospitals Are Shortening Coverage Windows for Post-Procedure Care

If you undergo surgery in 2026, don’t expect to spend much time in a hospital bed afterward. A massive regulatory shift is forcing hospitals to...

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Retirees Are Reporting Delayed Reimbursements for Routine Care

For many retirees, the 2026 healthcare experience has been defined by a frustrating new paradox: while medical technology is faster than ever, getting paid back...

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6 Medicare Network Changes That Only Appear After Appointments Are Scheduled

In 2026, a frustrating phenomenon known as “Ghost Networks” has reached a breaking point for Medicare beneficiaries. You check your plan’s digital directory, find your...

Axios

Basic Medicaid info can be shared with ICE, judge says

The categories of data the judge said could be shared are limited.

Roll Call

Texas gets largest share of reconciliation law’s rural health fund - Roll Call

States could lose money through a “rescoring” process if they don’t follow through on certain initiatives, CMS Administrator Oz says.

Roll Call

Gender-affirming care rules create legal quagmire, critics say - Roll Call

Proposals that would sharply limit pediatric gender-affirming care could face host of legal challenges, lawyers and civil rights groups say.

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