Bridging the Medicare Cost Gap: Knowing Your Options
Older Americans have ways to protect against high out-of-pocket health care costs, but it’s important to understand the trade ...
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Indiana Medicaid cuts targeting autism therapy less severe than expected
The Indiana Family and Social Services Administration has reduced Medicaid coverage for ABA therapy, but not as severely as ...
Dallas Representative files bill to end prior authorization requirements for HIV prevention drug
Dallas, filed a bill this legislative session to prohibit insurance companies from requiring prior authorization before covering medications intended to prevent the ...
What Is Medicare? How It Works And What It Covers
More than 67 million people are enrolled in Medicare, the government health insurance program for adults ages 65 and older ...
Medicare Part B: Coverage, Costs And Eligibility
Original Medicare, the federal government’s health insurance program for older adults and people with qualifying disabilities ...
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Prior authorization bill moves forward. But key reforms stripped out over fiscal concerns
Insurance companies may require what’s known as prior authorization for medical services before they will cover it. The ...
Mastering Medicare Advantage Prior Authorization: Tips to Accelerate Your Approval
Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.
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Trump’s War on Medicaid Will Institutionalize Millions of People
Known as Home and Community-Based Services (HCBS) waivers, the programs—now in their fourth decade—are funded by Medicaid and run by each individual state. With potential cuts to Medicaid a ...
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Medicare to Negotiate Prices for 15 More Drugs, Including Ozempic
The new prices are expected to take effect in 2027. HealthDay News — Medicare will soon negotiate prices for 15 more drugs as part of an effort to reduce costs for older adults and people with ...
New Study Published in JAMA Network Open Finds Procedural Prescription Denials Can Increase Acute Care Utilization and Spending in Medicaid
SAN FRANCISCO, CALIFORNIA / ACCESS Newswire / January 30, 2025 / A new study published in JAMA Network Open has found that while procedural ...
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Does Medicare cover oral surgery?
Original Medicare does not cover routine dental care or oral surgery for the general health of the teeth. However, Medicare may approve coverage for oral surgery in special cases. Although ...
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Medicare Advantage insurers ranked by prior authorization denial rates | 2023
Centene and CVS Health had the highest rates of prior authorization denials in 2023, according to a report from KFF. The report, published Jan. 29, analyzed data submitted to CMS by Medicare Advantage ...