medicare – Page 19 – medicarereport.org

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Income and Assets of Medicare Beneficiaries in 2024

(Authors: Alex Cottrill, Juliette Cubanski, Tricia Neuman, and Karen Smith for The Kaiser Family Foundation Published: Aug 25, 2025) Close

Eileen Cook August 26, 2025August 26, 2025 CMS, Healthcare Costs, medicare, Older Adults

Health Care Finance Legal Actions/Court Decisions Medicare - General Part D/Prescription Drugs PBM’s

CVS Caremark ordered to pay $290M in false claims suit

(By: Erica Cerutti for Becker’s Hospital Review ) A federal judge has ordered CVS Caremark to pay nearly $290 million

Eileen Cook August 21, 2025August 21, 2025 False Claims, Legal Action, medicare, Medicare Part D, PBM

CMS Health Care Finance Health Care Redesign Medicare - General Medicare Advantage

Could we see a “two-tier” Medicare program?

Did you know that there are roughly 67 million Medicare patients, and 54 percent of them are in a Medicare

Eileen Cook August 21, 2025August 21, 2025 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Older Adults, Physician Fee Schedule

CMS Legislative Update Medicare - General Prior Authorization

Lawmakers question adding prior authorization for traditional Medicare services

(By: Andrew Cass for Becker’s Hospital Review ) A group of House Democrats is seeking answers from CMS Administrator Mehmet

Eileen Cook August 12, 2025August 12, 2025 CMS, medicare, medicare legislation, Prior Authorization

CMS Health Care Finance Medicare - General

Medicare billing surprises

Around your 65th birthday, you will have a 7-month window of time when you can sign up for Medicare. It

Eileen Cook August 7, 2025August 7, 2025 CMS, Healthcare Costs, Healthcare Finance, IRMAA, Late Enrollment Penalty, medicare, Medicare Premiums

DHS -OIG Health Care Finance Medicare - General Part D/Prescription Drugs

Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2023 Average Sales Prices

(Source - oig.hhs.gov) Medicare Part B annually spends billions of dollars to cover a limited number of outpatient prescription drugs.

Eileen Cook August 6, 2025 DHS-OIG, Drug Payments, medicare, Medicare Part B, Medicare Part B drugs

CMS Health Care Finance Medicaid Medicare - General

The next step in preventing fraud

In recent weeks, the Centers for Medicare & Medicaid Services (CMS) announced that the “Fraud Takedown” resulted in the prosecution

Eileen Cook August 5, 2025August 5, 2025 AI, CMS, Fraud Prevention, Medicaid, medicare

Affordable Care Act (ACA)Direct Primary/Concierge Care Health Care Finance Health Care Redesign Health Insurance HRAs/HSAs Medicaid Medicare - General Part D/Prescription Drugs

Implementation Dates for 2025 Budget Reconciliation Law

(Source - The Kaiser Family Foundation published August 4, 2025) On July 4, President Trump signed the budget reconciliation bill,

Eileen Cook August 5, 2025August 5, 2025 ACA, CMS, Federal Budget Reconciliation Bill, Healthcare Costs, Healthcare Finance, Medicaid, medicare, Medicare Part D

CMS Health Care - General Medicare - General

PCPs leave Medicare at faster rates than specialists: 4 study notes

(By: Mariah Taylor for Becker’s Hospital Review ) Primary care physicians are leaving fee-for-service Medicare programs faster than specialists, according

Eileen Cook August 1, 2025August 1, 2025 medicare, Older Adults, PCPs, Specialists

Health Care Finance Medicare - General Medicare Advantage Part D/Prescription Drugs

Medicare Advantage in 2025: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization

(By Nancy Ochieng, Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jul

Eileen Cook July 30, 2025July 30, 2025 CMS, medicare, Medicare Advantage, Medicare Part D, Out-of-pocket costs, Premiums, Prior Authorization, Supplemental Benefits