MEDICARE

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Oct 20 2025HEALTH

How Doctors Join and Leave Medicare: A 10-Year Look

Over the past decade, the number of doctors taking part in Medicare has seen some ups and downs. This program, which helps older Americans pay for healthcare, is a big deal for many. But why do doctors decide to join or leave Medicare? Let's break it down. First, it's important to understand that M

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Oct 20 2025HEALTH

Smart Medicare Choices During Government Shutdown

The government shutdown might make things tricky for Medicare open enrollment, which runs from October 15 to December 7. Even though the Centers for Medicare and Medicaid Services says updates will keep going, getting quick answers might be harder. Experts suggest taking your time with big decision

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Jul 29 2025HEALTH

Weiss Hospital Faces Medicare Termination: What Went Wrong?

Weiss Memorial Hospital is in hot water, literally and figuratively. The federal government has decided to cut it off from Medicare, a big deal that could seriously hurt the hospital's finances. The Centers for Medicare & Medicaid Services (CMS) announced this decision, saying Weiss didn't follow th

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Jul 18 2025HEALTH

Understanding Social Risk Tracking in Medicare

Health care providers are now using Z codes to track social risks among Medicare patients. These codes cover a range of issues like job stability, housing conditions, education levels, and other personal challenges. However, the use of these codes is not widespread, and there are concerns about how

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Jul 11 2025HEALTH

How Bundled Payments Could Change Spine Surgery for Medicare Patients

Medicare has been experimenting with new ways to pay for medical services. One of these experiments is called Bundled Payments for Care Improvement Advanced, or BPCI Advanced for short. This program started in 2018 and includes spine surgery done outside of the hospital. The idea is to pay a set amo

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Jul 06 2025HEALTH

Long-Term Care: A Costly Surprise for Many Seniors

Many people assume Medicare covers long-term care, but that's not the case. This mix-up could lead to big financial problems for seniors. Long-term care includes help with daily tasks like bathing or dressing. Over 80% of people will need this help at some point. The confusion is clear: 58% of adul

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Jul 01 2025CRIME

A Massive Health Care Fraud Crackdown: What You Need to Know

In a significant move, authorities have recently taken down a huge health care fraud operation. Over 320 people were charged, and nearly $15 billion in false claims were uncovered. This is the biggest crackdown of its kind in history. The operation was a joint effort between state and federal prose

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Jun 25 2025HEALTH

Medicare's Missing Piece: Why Contraceptive Coverage Lags for Women with Disabilities

Medicare supports many women, but it's missing something big. It helps over a million women of childbearing age who live with disabilities. Yet, it's the only major health insurance in the US that doesn't have to cover birth control. This is a problem. Other health plans must cover contraceptives.

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Jun 23 2025HEALTH

The Price Tag on Seizure Meds: A Fresh Look

The battle against epilepsy is a lifelong one. People with this condition often need to take medication to manage their seizures. Unfortunately, the cost of these drugs has been going up over time. This is where Mark Cuban Cost Plus Drug Company comes in. They have come up with a way to make these m

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Jun 17 2025HEALTH

Community Helpers Boost Kidney Care for Medicare Users

Chronic Kidney Disease (CKD) is a big deal in the healthcare world. It costs Medicare around 82 billion dollars each year. This is a huge chunk of money. So, finding ways to manage it better is crucial. One approach that's gaining traction is using community navigators. These are people who understa

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