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The Latest Breaking News from CMS

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...

Saving Advice

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...

Saving Advice

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...

Saving Advice

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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...

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Basic Medicaid info can be shared with ICE, judge says

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

Axios

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.

Roll Call

States eager for final decisions on $50B health care fund - Roll Call

States are expecting clarity within days for a key feature of Republicans’ signature budget law — a $50 billion rural health care fund.

Roll Call

Trump Administration Targets Hospitals To Ban Transgender Care for Minors

The Trump administration proposes regulations stripping Medicare and Medicaid funding from hospitals providing gender-affirming care to transgender minors nationwide.

International Business Times

Trump green-lights these "no charge" marijuana products for Medicare enrollees

Marijuana use among older adults in the U.S. is growing fast.

Axios

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Barchart

Is CMS Energy Stock Underperforming the S&P 500?

While CMS Energy has lagged behind the S&P 500 Index over the past year, analysts are moderately optimistic about the stock’s prospects.

The Independent UK

Dr. Oz snack shames staff to eat less over holiday season: ‘You don’t have to try every cookie’

Among the advice Oz sent, he suggested people keep one hand free while eating and drinking and utilize small plates to prevent overeating

Fortune

AI doctors will be good at science but bad at business, and big talk with little action means even higher drugs prices: 10 healthcare predictions for 2026 from top investors

We hope 2026 is calmer after tariffs, public health chaos, and the cancellation of billions of research funding and health coverage support for millions.

Kiplinger

15 Costly Drugs Will Get Medicare Price Cuts in 2027: Will You Save?

The Centers for Medicare & Medicaid Services extended a safety net to older Americans by announcing significant price reductions on 15 high-cost prescription drugs, effective in 2027.

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Medicare Part B Premium Drafts Are Spiking for Many Fixed-Income Seniors

Medicare Part B premiums are increasing in January, reflecting higher healthcare costs and adjustments in program funding. The Centers for Medicare & Medicaid Services (CMS)...

Reason

Auditors Submitted 24 Fake Applications for Subsidized Health Insurance. Only 1 Was Denied.

A new GAO report suggests the Affordable Care Act's health insurance exchanges are rife with fraud.

Roll Call

ACA marketplace allowed fake enrollees, possible fraud, GAO says - Roll Call

The report could buttress GOP arguments that major changes are needed, or at least that prevention measures be a part of any deal on lowering health care costs.

International Business Times UK

Medicare Shake‑Up 2027: CMS Plans To Axe New Health Equity Reward — Are You Losing Out?

CMS plans to scrap a new health equity reward in its 2027 Medicare overhaul. Find out what the shake-up means and whether you could lose benefits.

Benzinga

Part B Premiums Spike To $202.90 Next Year, Shrinking Social Security's COLA For Millions

Millions of older Americans will see a larger chunk of their Social Security cost-of-living adjustment disappear next year as Medicare Part B premiums climb to their highest level yet. The Centers for Medicare Medicaid Services has confirmed that the standard Part B premium will rise to $202.90 per month in…

The Conversation

Minority ethnic women in the UK face economic abuse at twice the rate of white women. These are their experiences

Economic abuse may not be as obvious as physical abuse, but for the millions of people it affects in the UK, economic abuse can be totally devastating.

Benzinga

CMS Unveils 2027 Rule To Refocus Medicare Advantage On Outcomes

The U.S. Centers for Medicare Medicaid Services (CMS) proposed rule changes for the 2027 Medicare Advantage and Part D contract year.

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