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The Latest Breaking News from Medicare Advantage

Federal Indictment Says Medicare Patients Got Years of Eye Tests That No One Read

A federal indictment alleges Medicare patients received unnecessary eye tests from 2015 to 2023. What older patients should check on their statements.

Medical Daily · Jul 30

Medicare Just Fined 14 Insurers as the Electronic Prior Authorization Deadline Approaches

CMS fined 14 Medicare plans $1.54 million and flagged prior authorization failures ahead of the January 2027 electronic exchange deadline.

Medical Daily · Jul 29

Medicare to End Premium Stabilization Program for Standalone Drug Plans

CMS is ending the Part D Premium Stabilization Demonstration after 2026. Here is what it did and what seniors will learn in September.

Medical Daily · Jul 29

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Trump Administration Pulls the Plug on a Medicare Subsidy That Cut Drug Premiums— Oz Says the 'Bailout' Is Over as Seniors Brace for 2027 Hikes

The Centers for Medicare & Medicaid Services (CMS) announced Tuesday it will end the Medicare Part D Premium Stabilization Demonstration after the 2026 plan year, ending a federal subsidy program that has helped keep prescription drug premiums lower and could result in higher costs for some seniors beginning in 2027.

Benzinga · Jul 29

Federal Watchdog Recovered $5.56 Billion in Healthcare Fraud and Banned 1,212 Providers from Medicare

The HHS OIG recovered $5.56 billion in healthcare fraud from October 2025 to March 2026 and banned 1,212 providers from Medicare. Here is what the report means for patients.

Medical Daily · Jul 25

What a 214,000-Person Study Reveals About Dementia Risk: Where You Live Changes What You Should Prevent First

A 214,000-person study in 14 countries finds dementia risk factors differ sharply by region. USC-led research challenges one-size-fits-all prevention approaches.

Medical Daily · Jul 17

How to Check Your Medicare Claim Status Online

Waiting for a Medicare claim to process can be frustrating, especially if you’re wondering whether a doctor’s visit, hospital stay, or medical test has been...

Saving Advice · Jul 10

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Don’t Throw Away This Medicare Letter—It Could Change Your Coverage Next Year

Every fall, millions of Medicare Advantage and Part D members receive a thick envelope that looks like routine insurance paperwork. Many people set it aside...

Saving Advice · Jul 9

Medicare's New $50 GLP-1 Weight-Loss Program Just Launched: Find Out if You Qualify

Medicare's GLP-1 Bridge launched July 1, 2026. Up to 3.8M seniors may qualify for $50/month Wegovy, Zepbound, or Foundayo. Here's the eligibility breakdown.

Medical Daily · Jul 2

Medicare's New $50 Weight Loss Drug Program Starts July 1 — but the Fine Print Could Surprise You

Medicare's GLP-1 Bridge starts July 1, 2026, with $50/month copays. But there are major fine-print limitations seniors need to know before signing up. Here's what to check.

Medical Daily · Jun 25

Mental Health Is Now the Top Telehealth Diagnosis Across Every U.S. Age Group and Region New FAIR Health Data Show

FAIR Health Q1 2026 data show mental health is the top telehealth diagnosis in every U.S. age group and region, with 52.1% of patients receiving mental health diagnoses.

Medical Daily · Jun 22

Medicare Advantage Plans Are Quietly Cutting Benefits Mid-Year in Several States

Across several U.S. states, Medicare Advantage enrollees face an unsettling shift as insurers adjust benefits well after open enrollment closes. Seniors who carefully selected plans based on dental coverage, transportation perks, or grocery allowances now notice those perks shrinking or disappearing entirely. Insurance companies continue to tweak plan details mid-year,…

The Free Financial Advisor · Jun 15

Original Medicare vs. Advantage: More Retirees Are Switching Back — And Here’s Why

Healthcare decisions in retirement keep getting more complicated, and the stakes feel higher than ever. Many retirees once rushed into Medicare Advantage plans because of low premiums and extra perks that sounded too good to pass up. Now, a growing number of them are reversing course and returning to Original…

The Free Financial Advisor · Jun 15

Why Medicare Skips Dental, Vision, and Hearing — and What Fills the Gap

Many Americans are surprised to discover that Medicare does not cover some of the health services they use most often. After decades of paying into...

Saving Advice · Jun 14

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Saving Advice · Jun 13

3 Million Seniors Lost Their Medicare Advantage Plan in 2026: 7 Moves to Make Before Your Coverage Lapses

Millions of Medicare beneficiaries received an unpleasant surprise heading into 2026. Approximately 2.9 million Medicare Advantage enrollees were forced to find new coverage after insurers...

Saving Advice · Jun 11

Texas Seniors Dropped From Medicare Advantage Have Until This Deadline to Avoid a Coverage Gap

For thousands of Texas seniors, a letter from their Medicare Advantage provider can create immediate anxiety. Some plans are being discontinued, while others are withdrawing...

inkl · Jun 10

Medicare Billing for Nursing Home Stays Is Trickier Than It Looks

Medicare covers lots of care for older adults. Yet, the rules for skilled nursing stays shock many families and stress out the staff dealing with paperwork. Each stay may go through different coverage stages, with unique billing needs too.

Roll Call · Jun 10

Prior authorization bill now eligible for House fast track

Legislation aimed at reducing delays when Medicare Advantage plans require preapproval for care could hit the House floor under fast-track rules for bills that have broad support. The bill, sponsored by Rep. Mike Kelly, R-Pa., targets use of prior authorization in Medicare Advantage — in which insurers approve or deny services…

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Kiplinger · Jun 5

What This Year's Biggest Medicare Changes Mean for You

Some drug prices are falling, other costs are climbing, and new rules abound. Here's what you need to know.

Medical Daily · Jun 4

Wall Street Turns Bullish on Health Insurers: UNH Surges 5.7% as BofA Upgrades and Morgan Stanley Raises Target to $453

UnitedHealth Group was written off by many investors after five straight sessions of losses. Then Thursday morning arrived — with two simultaneous Wall Street upgrades, easing medical cost data, and a technical setup that had been coiling for a breakout. Here is what changed, what it means for patients, and…

inkl · May 29

Why the Era of Chart Mining in Medicare Advantage Is Coming to an End

Chart mining, the practice of sending coders into historical medical records to find diagnosis codes that were clinically present but never submitted to CMS, has been a cornerstone of Medicare Advantage risk adjustment for nearly two decades. Health plans hired vendors to process millions of charts annually. Coders identified diagnoses.…

Everybody Loves Your Money · May 28

Medicare Alert: Why Your Next Statement May Show a Different Part B Deduction

A lot of retirees glance at their Social Security statement every month without expecting surprises. Then suddenly, the Medicare Part B deduction changes, and panic sets in before breakfast even finishes brewing. One small number can spark huge questions about healthcare costs, inflation, and whether a mistake slipped into the…

Saving Advice · May 27

The Medicare “Benefit Boost” Claim Circulating on Facebook — and Why Experts Say Seniors Should Be Careful

If you have spent any time on Facebook recently, chances are you have seen advertisements promising seniors a huge new Medicare “benefit boost.” Some ads...

Saving Advice · May 27

The Medicare Grocery Benefit Cutback: Why Some Seniors Could See Reduced Monthly Food Assistance

Many seniors have come to rely on Medicare Advantage grocery benefits to help stretch their budgets during a time of soaring food prices. These monthly...

The Free Financial Advisor · May 26

Insurers Are Exiting Some Medicare Advantage Markets—What to Do If Your Plan Is Terminating

Big changes are shaking up Medicare Advantage, and many enrollees now face unexpected notices about plan terminations. Insurers have started pulling back from certain counties and states, leaving members scrambling to figure out what comes next. These changes do not always signal a crisis for beneficiaries, but they do demand…

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