The Latest Breaking News from CMS

Did Medicare Pay for a Test You Never Received? A New Fraud Crackdown Gives Seniors a Reason to Look

When was the last time you checked whether every laboratory test appearing on your Medicare claims was one you actually received? That question suddenly carries...

Saving Advice · Sep 10

CMS Is Targeting Unauthorized Health Insurance Enrollments—Here’s What Consumers Should Check

Imagine going to use your health insurance and discovering that the plan you thought you had isn’t the plan showing in the system or learning...

Saving Advice · Sep 10

157 Lab Providers Lost Medicare Billing Privileges—Here’s Why Checking Your Medicare Statement Matters

That unfamiliar laboratory charge on your Medicare statement may look like something only a billing department could understand, but it deserves more than a quick...

Saving Advice · Sep 10

A New Elizabeth Holmes Documentary Arrives While the Lab Oversight Gap Theranos Exposed Remains Legally Unclosed

A new Holmes documentary premiered at Telluride. The patient-harm side of Theranos and the lab-oversight question remain unresolved.

Medical Daily · Sep 9

7 Medicare Fraud Red Flags Seniors Should Watch for After CMS Blocked $1.6 Billion in Payments

Medicare fraud can begin with something that doesn’t feel particularly dangerous: a phone call about a “free” genetic test, an unexpected package containing medical equipment,...

Saving Advice · Sep 7

7 Signs Someone May Have Changed Your ACA Marketplace Coverage Without Permission

An ACA Marketplace health plan should not mysteriously morph into something different while its owner is busy living life. Yet unauthorized enrollment and plan changes have become a serious consumer protection issue, particularly when someone gains access to Marketplace information or acts without the consumer’s permission. CMS has taken steps…

Everybody Loves Your Money · Sep 6

AG Ken Paxton hasn’t challenged the Trump administration over Texas’ $10-billion Medicaid cut even though he sued Biden

The attorney general won a lawsuit against the feds for withholding a Medicaid funding stream three years ago. Texas faces the same cut, but Paxton has stayed quiet.

The Texas Tribune · Sep 4

Could Someone Be Collecting a Commission From Your Health Insurance Without Your Knowledge?

A health insurance agent or broker can earn a commission from an insurance company when they help someone enroll in a plan, and that payment may never appear as a separate charge on the consumer’s bill. That does not automatically mean something shady happened, but it does create an important…

Everybody Loves Your Money · Sep 3

8 Changes Coming to Medicare in 2027

Prepare for rising Part D costs, shrinking drug plan options, and newly negotiated prescription prices before Open Enrollment begins.

Kiplinger · Sep 3

In a rare move, Gov. Greg Abbott defends Medicaid funding for Texas

Abbott’s spokesman reiterated that Texas is not doing anything wrong that would disqualify hospitals from receiving nearly $10 billion in Medicaid funding annually.

The Texas Tribune · Sep 2