Medicare
Which to Choose: Medicare or Medicare Advantage?
By Paula Span, Published Nov. 20, 2022, The New York Times. It’s open enrollment season again. From now through Dec. 7, about 65 million Americans are facing the annual question of which Medicare options will… Read More
Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging
Article Summary: Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year. By Fred Schulte, KHN, Jun 29,… Read More
Researcher: Medicare Advantage Plans Costing Billions More Than They Should
Article Summary: Medicare Advantage Plans have caused an increase in cost to taxpayers because of the way they have been charging sicker patients. By Fred Schulte, KHN, Nov 11, 2021. Switching seniors to Medicare Advantage… Read More
Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill
Article Summary: A cost-cutting change in Medicare policy will reduce payments to hospitals for some surgical procedures and increase costs for patients. By Susan Jaffe, KHN, Mar 23, 2021. A cost-saving change in Medicare launched… Read More
Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds
Article Summary: Humana has overstated the severity of illness of some patients and has overcharged Medicare in a recent OIG audit finding. By Fred Schulte, NPR, Apr 20, 2021. A Humana Inc. health plan for… Read More
Where to Get Free Impartial Advice About Medicare Health Insurance
Take advantage of your state’s one-on-one counseling program If you have a complicated question about Medicare, or just want some help talking through your options, you should take advantage of the free one-on-one counseling available...
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Medicare Upcoding – Medical Billing Fraud
When a provider treats a Medicare patient, the provider must tell Medicare what services were provided so that Medicare can reimburse the doctor the correct amount. Certain services have higher reimbursement amounts than others –a… Read More
Phantom Medicare Billing
What is Phantom Billing? By Berger Montague Attorneys. Medicare fraud broadly refers to any individual, company or corporation who acts intentionally to steal money from the federal government. “Phantom billing” is a specific kind of Medicare… Read More
The Problem with Medicare Advantage
Medicare’s Private Option Is Gaining Popularity, and Critics. As more Americans sign up for Medicare Advantage, detractors worry that it’s helping private insurers more than patients. When Ed Stein signed up for Medicare eight years...
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