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News Articles: Center for Medicare and Medicaid Services

Tagged as: 

  • Health

Hidden audits reveal millions in overcharges by Medicare Advantage plans

Taxpayers footed the bill for care that should have cost far less, according to records released under the Freedom of Information Act. The U.S. government may charge insurers $650 million as a result.

November 21, 2022
|
By:
  • Fred Schulte and
  • Holly K. Hacker
Close-up of African American teenage boy having a session with mental health professional at counselling center.

Tagged as: 

  • Health Care

After dip in funding, second round of federal money aims to get more people on health insurance

A $80 million grant approved by the Biden administration last year will last for three years, supporting navigator programs nationwide. 

August 31, 2022
|
By:
  • Sofi Gratas
The Biogen Inc., headquarters is shown in Cambridge, Mass. Medicare says it will limit coverage of a $28,200-per-year Alzheimer's drug whose benefits have been questioned.

Tagged as: 

  • Health Care

Medicare proposes covering expensive Alzheimer's drug for those in clinical trials

Aduhelm is the first treatment approved in the country to slow cognitive decline in those living with Alzheimer's. Doctors have refused to prescribe it, given the lack of data and evidence behind it.

January 11, 2022
|
By:
  • Jonathan Franklin
Medicare Advantage health plans have enrolled nearly 27 million members, or about 45% of people eligible for Medicare. A recent analysis finds Medicare overpaid the private health plans by more than $106 billion from 2010 through 2019 because of the way the plans charge for sicker patients.

Tagged as: 

  • Health

Medicare Advantage's cost to taxpayers has soared in recent years, research finds

An alternative to original Medicare, the private plans are run mostly by major insurers. A recent analysis estimates Medicare overpaid these insurers by $106 billion from 2010 through 2019.

November 11, 2021
|
By:
  • Fred Schulte
Medicare is funded by a combination of money paid directly to the federal government from paychecks and taxes paid by working Americans. Most dental procedures and tests are not covered under traditional Medicare.

Tagged as: 

  • Health

Democrats Hope To Beef Up Medicare With Dental, Vision And Hearing Benefits

When Medicare began in 1965, its backers expected benefits to expand over time, but politics have mostly stymied that. Congressional Democrats are trying again as part of a $3.5 trillion budget plan.

August 09, 2021
|
By:
  • Julie Rovner
Medicare Advantage, a fast-growing private alternative to original Medicare, has <a href="https://www.ahip.org/7-things-you-need-to-know-about-medicare-advantage/">enrolled</a> more than 26 million people. Humana Inc. is one of the largest of these insurers. While popular with seniors, Medicare Advantage has been the target of multiple government investigations.

Tagged as: 

  • Health

Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds

If the report by the U.S. Department of Health and Human Services' Office of Inspector General is sustained, Humana Inc. could face a record penalty for overcharges in a Medicare Advantage plan.

April 20, 2021
|
By:
  • Fred Schulte

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