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The Latest Breaking News from CMS

Trump Triggers Buying Opportunity in UnitedHealth Group

UnitedHealth Group pulls back into a buying opportunity ahead of its Q4 report, as news from Washington suggests reimbursement rates will rise slowly.

MarketBeat

A Single Minnesota Building Was Linked to $380 Million in Medicaid Billing — How Was This Allowed to Happen?

Mehmet Oz was shocked to find that a building in St. Paul, Minnesota, housed hundreds of Medicaid-billing businesses linked to $380 million in claims.

International Business Times UK

Hospitals Are Shortening Covered Recovery Time

If it feels like hospital stays are getting shorter, you are not imagining it. In 2026, the average time a patient is allowed to recover...

Saving Advice

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read the most diverse news in one place.

These 5 Prescription Drug Changes Quietly Took Effect This Year — and Patients Are Just Noticing

If you walked into a pharmacy this January expecting to see the “lower prices” promised by the Inflation Reduction Act, you might have left confused—or...

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6 Medicare Enrollment Records That Need Correction Early

In the digital ecosystem of 2026, your access to healthcare depends entirely on the accuracy of the data stored in federal servers. While most seniors...

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Nursing Home Staffing Mandate Repealed: What Families Need to Know in 2026

For decades, choosing a nursing home meant hoping there were enough nurses to answer the call button at 3:00 AM. In 2024, the federal government...

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7 Post-Hospital Services With Shortened Coverage Windows

Leaving the hospital is supposed to be the start of recovery, but in 2026, it is also the start of a high-stakes “Coverage Clock.” Whether...

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Insurance Policy Language Changes Affecting Ongoing Care

In 2026, the battle for healthcare coverage is no longer just about “covered” versus “not covered.” It is about the specific definitions buried in the...

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The WISeR Files: Why 1 in 5 Traditional Medicare Patients Are Now Subject to AI Surgery Reviews

For decades, the single biggest reason seniors chose “Traditional” Medicare over private Medicare Advantage plans was the lack of red tape. If your doctor said...

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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...

The Independent UK

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

Saving Advice

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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