Topic
medicare
60 stories related to this topic, newest first.
Statscience2 days ago
UnitedHealth reports 97% of home-visit diagnoses supported by records
UnitedHealth Group released results from an internal audit of home-visit diagnoses for its Medicare Advantage members. The company said 97% of the diagnoses were backed by medical records. Other health insurers filed separate lawsuits against the Centers for Medicare and Medicaid…
world2 days ago
CMS Proposes Site-Neutral Payments for Select Imaging Services in 2027
The Centers for Medicare & Medicaid Services issued a proposed outpatient payment rule on July 2 that would extend site-neutral rates to certain X-rays, CT scans and MRIs at off-campus hospital departments. The change would lower Medicare spending by about $260 million and benefi…
The Guardianworld3 days ago
Australia Vasectomies Rise from 22,230 in 2015 to 36,317 in 2025
Medicare data recorded 36,317 vasectomies performed in Australia in 2025, up from 22,230 a decade earlier. Nearly one-third of the 699,473 total procedures since 2000 occurred in the last five years. A Sydney GP who has completed more than 2,000 cases cited greater male responsib…
The Independenttechnology4 days ago
Medicare Administrator Mehmet Oz Posts Video Demonstrating Squat Technique
Oz, 66, shared footage on social media Saturday showing proper squat form and brisk walking advice. The post continues a pattern of workout videos from Trump administration health officials.
science10 days ago
Medicare Drug Plans Drop Tens of Thousands Over Unpaid Premiums as Low as $8
Thousands of Medicare beneficiaries lost prescription coverage after small premium increases went unnoticed. Affected individuals cannot re-enroll until 2027 and face higher out-of-pocket costs.
Washington Examinerpolitics11 days ago
Trump Nominates Medicare Director Chris Klomp as Deputy HHS Secretary
Klomp currently directs Medicare and advises HHS Secretary Robert F. Kennedy Jr. He previously served on the board of fertility company Maven Clinic and negotiated drug price deals.
Forbestechnology13 days ago
Trump Administration Proposes Rules to Apply Medicare Price Negotiations to Some Reformulated Drugs
The Centers for Medicare and Medicaid Services last month proposed rules to group reformulated drugs with their originals for negotiation eligibility. The changes target biologics switched from intravenous to subcutaneous forms and would take effect with the 2029 price applicabil…
abcnews.go.compolitics13 days ago
Administration Proposes Medicare Rule to Cut Hospital Markups on Discounted Drugs
The Trump administration proposed a rule Thursday that would change Medicare reimbursement for hospitals in the 340B program. Officials estimate the change would reduce patient co-payments by $1.1 billion next year.
world14 days ago
Medicare to Cover Weight-Loss Drugs at $50 Monthly Starting July 1
Beginning July 1, Medicare will extend coverage for weight-loss medications to millions of seniors at a capped out-of-pocket cost of $50 per month. The change marks the first time such drugs receive broad federal insurance support for this population.
cnbc.compolitics15 days ago
Medicare Begins Covering Weight Loss Drugs for 18 Months
Medicare started covering weight loss drugs such as Wegovy and Zepbound at a $50 monthly copay. The coverage is a temporary 18-month program that does not count copays toward deductibles or out-of-pocket limits.
globalnews.capolitics15 days ago
Medicare Begins Temporary Coverage of GLP-1 Drugs for Obesity
A short-term pilot program allowing Medicare to cover GLP-1 medications for obesity treatment begins July 2 and runs through 2027. Beneficiaries will pay $50 monthly while manufacturers set a $245 price per drug. The program covers obesity treatment only and requires prior author…
abcnews.go.compolitics15 days ago
25 States and D.C. Sue to Block Federal Medicaid Work Requirements
A group of 25 states and the District of Columbia filed suit Monday in federal court in Massachusetts. The complaint challenges a Centers for Medicare and Medicaid Services rule that imposes work requirements on Medicaid beneficiaries.
washingtonpost.compolitics15 days ago
New Jersey Court Sentences Nurse Practitioner and Husband to Prison for $136 Million Medicare Fraud
Jean Wilson, 54, received the sentence Tuesday in U.S. District Court for the District of New Jersey after pleading guilty to wire fraud and healthcare fraud conspiracy. The scheme involved two telehealth companies she owned that submitted fraudulent claims for unneeded orthotic…
cnbc.comfinance16 days ago
Medicare launches pilot offering GLP-1 obesity drugs for $50 monthly
A new Medicare pilot program will provide GLP-1 weight-loss medications to beneficiaries for $50 a month starting July 1. The initiative addresses prior cost barriers that kept these drugs out of reach for many seniors.
theconservativetreehouse.comscience16 days ago
Trump Administration Sets $245 Monthly Price for GLP-1 Drugs in Medicare and Medicaid with $50 Copay Requirement
The November agreement with Eli Lilly and Novo Nordisk covered obesity indications previously excluded from Medicare. Coverage required private Medicare insurers to offer the drugs at a $50 copay.
cnbc.comworld16 days ago
Medicare to Cover Select Weight-Loss Drugs for Two Years Starting July 2026 Under New Pilot
Some Medicare patients will access GLP-1 medications for weight loss through a new pilot program starting July 1 with a $50 monthly copay. The Medicare GLP-1 Bridge covers specific drugs from Eli Lilly and Novo Nordisk through December 2027. CBS News reported the details of eligi…
business17 days ago
Senators Advance Bill to Cap Insulin at $35 for Private Insurance and Uninsured
U.S. senators are reviving a proposal to extend the $35 insulin price cap beyond Medicare to the private market and uninsured patients. The measure is modeled on a 2022 law that already limits costs for Medicare beneficiaries.
forbes.comscience18 days ago
Medicare Bridge Program Begins Obesity Drug Coverage for Part D Enrollees at $50 Monthly Copay
Eligible beneficiaries gained access to the treatments on July 1, 2025. A survey showed most seniors remained unaware of the change despite the program's extension through 2027.
nbcnews.comfinance18 days ago
Bill Would Cap Medicare Enrollees' Annual Expenses at $5,000
A proposal introduced in Congress would set a $5,000 annual out-of-pocket limit for all Medicare beneficiaries. The measure is described as a long shot and could increase federal spending by tens of billions of dollars.
Fox Newsworld20 days ago
Four Charged in Alleged $3 Billion Medicare Fraud and Money-Laundering Case
Fox News reported charges against four people tied to a $3 billion Medicare fraud and money laundering scheme. Allegations include identity theft, fake medical claims and diversion of prescription drugs.
forbes.compolitics21 days ago
Senate Democrats Plan Bill to Cap Out-of-Pocket Medicare Costs
Some Senate Democrats will introduce legislation today to limit beneficiary spending in traditional Medicare. The proposal sets a $5,000 annual cap and would increase program costs.
forbes.compolitics21 days ago
U.S. Charges 455 People in $6.5 Billion Medicare and Medicaid Fraud Cases
The charges span 45 states and include schemes involving dead patients and negligent care. Authorities seized luxury items bought with proceeds and closed hundreds of facilities.
Fox Newsscience22 days ago
Federal Authorities Charge 10 in Southern California Healthcare Fraud Cases Totaling $297 Million
Ten defendants in the Central District of California face charges tied to two schemes involving nearly $270 million in Medi-Cal claims and $27 million in Medicare billings. The cases form part of a national Justice Department operation that charged 455 people in alleged fraud exc…
New York Postpolitics22 days ago
Medicare Expands Access to Weight-Loss Drugs for Seniors at $50 Copay Starting July 1
Medicare's 68 million enrollees will pay $50 for GLP-1 weight-loss drugs beginning July 1. President Trump announced the change at a Pennsylvania truck plant and linked it to his drug-pricing policy.
washingtonpost.comworld22 days ago
US Businessman Accused of $3.7 Billion Medicare Fraud Returned from Turkiye After Year-Long Flight
Ibrahim Khaldoon Hilmi arrived in the United States on June 19, 2026, after his arrest in Turkiye on charges of orchestrating a large-scale Medicare fraud scheme. Al Jazeera reported that he will face federal court proceedings as part of Operation Gold Rush.
medpagetoday.comai23 days ago
Medicare Pilot Requires Prior Authorization for 13 Services in Six States
The WISeR program launched in January 2026 in Oklahoma, Arizona, New Jersey, Ohio, Texas and Washington. Patients and providers report added travel, delays and payment backlogs for procedures including spinal epidurals.
Newsweekbusiness23 days ago
Medicare GLP-1 Bridge Program to Launch July 1 With $50 Monthly Copay Through 2027
The Centers for Medicare & Medicaid Services will start the temporary Medicare GLP-1 Bridge program on July 1. Eligible beneficiaries gain access to Foundayo, Wegovy and Zepbound for a flat monthly fee through December 2027.
The Hillscience25 days ago
Medicare to Offer $50 Monthly GLP-1 Access for Weight Management Starting July
A temporary demonstration program will let some Medicare Part D enrollees obtain GLP-1 medications for a flat $50 monthly copay from July 1, 2026, through December 31, 2027. The program operates outside standard Medicare coverage rules because federal law bars payment for weight-…
Rapplerworld26 days ago
Philippine authorities arrest U.S. fugitive Herbert Leon Kimble in Manila
Herbert Leon Kimble, 60, was taken into custody in the Philippines on June 20, 2026, after fleeing sentencing in a $1.2 billion Medicare fraud case. The U.S. Department of Justice said the arrest marks the second capture from its Most Wanted Fraudster list in two weeks.
medpagetoday.comscience27 days ago
CMS Recalculates 2026 Medicare Advantage Star Ratings After Court Found Prior Errors
Federal officials adjusted quality ratings for next year’s Medicare Advantage plans following legal pressure from insurers. The change affects bonus payments that reached $16 billion this year.
medpagetoday.comfinance27 days agoSourced
Arkansas Pathology Lab and U.S. Reach $30 Million Settlement Over Referral and Billing Allegations
Advanced Pathology Solutions PLLC agreed to pay the United States $30 million to resolve claims it provided kickbacks and ordered unnecessary tests billed to Medicare and Medicaid from 2015 to 2022.
Benzingafinance29 days ago
CMS Proposes Ending Evidence Requirement for Symptomatic TAVR While Expanding Coverage to Asymptomatic Patients
The Centers for Medicare & Medicaid Services issued a national coverage analysis decision memo on Monday that would drop the coverage with evidence development requirement for TAVR in symptomatic severe aortic stenosis patients.
english.elpais.comscience29 days ago
U.S. Spent $360,000 Storing Contraceptives Meant for Aid
Storage costs rose from $17,000 to $24,000 monthly while usable supplies fell to $1.7 million out of $9.7 million. Medicare will cover GLP-1 weight-loss drugs for adults 65 and older starting July 2026.
nypost.comworld29 days ago
Lifestyle Changes Yielded Slightly Lower Multimorbidity Rates Than Metformin After 21 Years
A JAMA study of 1,173 Medicare participants found that diet and exercise reduced multimorbidity rates to 82 percent versus 85 percent for metformin and 87 percent for placebo after 21 years of follow-up.
Statscience30 days ago
Supplement Use Rises to 60% of U.S. Adults in 2023, Contraceptive Storage Costs Hit $360,000
@statnews reported on supplement trends, Medicare drug coverage changes, Utah’s drunk-driving law effects, and USAID storage expenses for unused contraceptives.
New York Postworld30 days ago
Medicare to Offer GLP-1 Weight-Loss Drugs for $50 Monthly Starting July 1
Up to 14 million Medicare recipients who are overweight will be eligible for three GLP-1 medications at a $50 copay under a new pilot program. The Medicare GLP-1 Bridge runs from July 2026 through December 2027 and is separate from standard Part D coverage.
kff.orgworld30 days ago
Man Sentenced to Prison for $58 Million Medicare and Medicaid Fraud Using Nonprofit Clinic
A Haitian man received a prison sentence after using a nonprofit clinic to submit fraudulent Medicare and Medicaid claims through the 340B drug discount program.
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nbcnews.comscience30 days ago
Medicare to Cover Weight Loss Drugs for Adults 65 and Older Starting Next Month
The Trump administration will extend a transitional program called Bridge to provide coverage through the end of next year after private insurers declined to join a planned three-year demonstration.
washingtonpost.compolitics30 days ago
Florida Clinic Owner Sentenced to Nearly 10 Years for $58 Million 340B Fraud
Jean Jethro Alexandre was convicted in a Florida healthcare fraud conspiracy that submitted more than $58 million in false claims to Medicare, Medicaid, and private insurers through the federal 340B Drug Pricing Program.
ndtv.combusiness31 days ago
U.S. Administration Proposes Medicare Drug Negotiation Rule Changes
The Trump administration proposed altering a policy that prevents drugmakers from avoiding Medicare price negotiation by adding active ingredients to existing drugs. The change is part of an annual rule governing selection of the next 20 drugs and biologics for negotiation.
medpagetoday.comscience32 days ago
Trump Administration Proposes Rule on Medicare Drug Price Negotiation Timing for Modified Drugs
The proposal targets drugmakers that add active ingredients to avoid Medicare price negotiation. It forms part of the annual rule selecting the next 20 drugs for negotiation.
nbcnews.comscience33 days ago
Trump Administration Proposes Rule on Medicare Drug Price Negotiation Timing After Ingredient Changes
@statnews reported that the Trump administration on June 12, 2026, proposed a policy change to stop drugmakers from avoiding Medicare price negotiation by adding active ingredients to existing drugs. The measure is part of the annual rule that sets the process for selecting the n…
Fox Newspolitics34 days ago
Hawley Seeks CMS Probe of $1.5 Billion in Medicare, Medicaid Funds to Planned Parenthood
Sen. Josh Hawley asked the Centers for Medicare & Medicaid Services to examine whether federal dollars supported gender-affirming care for minors. The request follows the scheduled lapse of a funding restriction on July 4.
abcnews.go.comscience35 days ago
New Medicaid Work Rule Narrows Medical Frailty Exemption
The Centers for Medicare and Medicaid Services issued an interim final rule last week requiring Medicaid expansion enrollees seeking medical frailty exemptions to show their condition significantly impairs work, volunteer, or school activity. States must verify claims with docume…
ABC Newspolitics36 days ago
Social Security Retirement Trust Fund Projected to Deplete in 2032
An annual trustees report released Tuesday moved the projected depletion date for Social Security's main retirement fund forward by one year to 2032. Medicare's hospital insurance trust fund remains on track to exhaust reserves in 2033.
Los Angeles Timesbusiness36 days ago
Social Security Retirement Trust Fund Solvent Until 2032, Trustees Report
An annual trustees report released Tuesday moved the projected depletion date for Social Security's retirement trust fund forward one year to 2032. Medicare's hospital insurance trust fund remains on track to exhaust reserves in 2033.
vtdigger.orgpolitics38 days ago
House Committee Launches Probe Into Potential Medicaid Fraud, Demands Records From 11 States
The committee is investigating potential fraud while the Centers for Medicare and Medicaid Services withholds payments to states under review. President Trump named Vice President JD Vance as the administration’s anti-fraud czar.
Forbesfinance39 days ago
Medicare Advantage Reaches Majority (55%) of Eligible Beneficiaries in 2026 as Growth Slows and Market Remains Concentrated
KFF data show continued but slower growth in Medicare Advantage despite pullbacks by major insurers. UnitedHealth Group and Humana together hold 46% of enrollees.
foxnews.comscience40 days ago
CMS Pauses New Medicare Hospice and Home Health Enrollments
The Centers for Medicare and Medicaid Services paused new Medicare enrollments for hospice and home health agencies as part of an anti-fraud effort. Faris Flournoy, CEO of Flournoy Health Systems, said the restrictions could limit patient access while agreeing that bad actors exi…
kff.orgscience42 days ago
CMS Tightens Medical Frailty Exemption Process in Medicaid Work Requirement Rule
The Centers for Medicare and Medicaid Services issued an interim final rule on Monday that narrows the medical frailty exemption and adds new attestation requirements for patients seeking to avoid work reporting rules under the One Big Beautiful Bill Act.
The Hillscience43 days ago
CMS Releases 400-Page Federal Rule Implementing Medicaid Work Requirements
The Centers for Medicare and Medicaid Services released a nearly 400-page rule on June 3, 2026, directing states on Medicaid work requirements. The rule tightens the medical frailty exemption.
Washington Examinerpolitics29 days agoUpdated
Oz Says Trump Gets Frequent Medical Checkups Because ‘He Likes The Results’
The Centers for Medicare and Medicaid Services administrator speculated that the president was “curious” about the state of his health.
thegatewaypundit.compolitics43 days ago
Medicare Administrator to Host White House Press Briefing
Centers for Medicare and Medicaid Services administrator Mehmet Oz will conduct the White House press briefing on Tuesday at 1 p.m. The appearance continues a rotation of administration officials substituting for the press secretary during maternity leave.
world43 days ago
CMS Issues Rule Requiring 80 Hours of Monthly Work for Some Medicaid Adults, Projected to Save $326 Billion but Cost States in Implementation
The Centers for Medicare & Medicaid Services issued an interim final rule on Monday requiring some adults on Medicaid to work 80 hours per month. States must implement the requirement by Jan. 1, 2027.
techjuice.pkworld44 days ago
Federal Warehouse in Southern California Stores Luxury Cars and Memorabilia Seized in Fraud Investigations
Federal authorities displayed dozens of luxury vehicles and collectibles recovered from fraud schemes. The items illustrate efforts to recover funds lost to Medicare and Medicaid fraud under the current administration.
techjuice.pkworld44 days ago
Federal Warehouse Stores Luxury Cars and Memorabilia Seized in Major Fraud Cases
CBS News reported that a secret Southern California warehouse stores dozens of Ferraris, Lamborghinis, and sports memorabilia seized in federal fraud investigations. Officials said recovery of stolen funds remains difficult as the Trump administration targets Medicare and other p…
fastcompany.combusiness44 days ago
Medicare to Offer Weight-Loss Drugs for $50 Monthly Starting in July
Medicare will begin covering Wegovy and Zepbound for weight loss at $50 per month for older adults in July. The agency has not disclosed the projected cost to taxpayers.
cnbc.comscience45 days ago
Medicare to Cover Wegovy and Zepbound for Obesity Treatment at $50 Monthly Copay Starting July 1
The temporary GLP-1 Bridge program will run through December 2027. Taxpayers will cover most costs for millions of new patients.
koreaherald.comworld49 days ago
U.S. Fertility Rate Hits Record Low as Population Growth Slows
U.S. births have fallen below deaths in recent projections while net immigration has declined. The working-age population supporting retirees is shrinking, affecting programs such as Social Security and Medicare.
New York Posttechnology50 days ago
Health Secretary Posts Video of Removing Snakes From Patio
Health and Human Services Secretary Robert F. Kennedy Jr. shared video of himself capturing two black racer snakes at a property linked to Centers for Medicare and Medicaid Services Administrator Dr. Oz. His wife, Cheryl Hines, urged caution during the encounter.