Medicare

The White House has launched an initiative on women’s health. Studying the health of older women, a largely neglected group in medical research, should be a priority.

Earlier in the week, CMS announced it will soon end a program providing advance payments to Medicare providers and suppliers whose cash flow affected by the ransomware attack.

A new financial report indicates that the funds gained an additional five years over the previous estimate for when they will run out of money, but the overall outlook for the programs remain grim.

Prosecutors alleged that subsidiaries provided discounts of up to 50% or more on patient cost-sharing obligations for certain categories of Medicare beneficiaries from 2016 to 2022.

It’s estimated that an older patient can spend three weeks of the year getting care — and that doesn’t count the time it takes to arrange appointments or deal with insurance companies.

A recently unsealed lawsuit accuses Aledade, the largest US independent primary care network, of developing billing software that boosted revenues by making patients appear sicker than they were.

Florida and the nation broke records for signups. Expanded financial assistance and the ongoing Medicaid unwinding contributed to the spike.

The U.S. Department of Justice said it involved submitted improper claims to Medicare, Medicaid and the TRICARE military health-care program from 2024 to 2020.

Roughly 8 million people 65 and older have dementia or need help with two or more activities of basic daily life, like getting out of bed. Facing a severe shortage of aides and high costs, caregivers often cobble together a patchwork of relatives and friends to help.

Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.

As a presidential candidate, Gov. Ron DeSantis has not said what he wants to do with Medicare. He has said he favors changing Social Security, although not in a way that affects current beneficiaries.

Florida Matters looks at how to navigate open enrollment for Medicare. And we explore what Medicaid 'unwinding' means for hundreds of thousands of Floridians.