Latest Medicare News

Georgia suing Biden administration over Medicaid rejection

Jan. 21, 2022 18:10 PM EST

ATLANTA (AP) — Georgia sued the Biden administration Friday over its decision to revoke approval of a work requirement in the state’s plan to expand Medicaid coverage to more low-income Georgians. The lawsuit filed in federal court in Brunswick, Georgia, says the decision last...

Woman sent to prison, must repay $7.5 million in fraud case

Jan. 21, 2022 16:08 PM EST

ST. LOUIS (AP) — A southeast Missouri woman has been sentenced to three years in prison and ordered to pay $7.5 million in restitution in a Medicaid and Medicare fraud case. A federal judge in Cape Girardeau on Tuesday sentenced 42-year-old Brandy McKay. The Cape Girardeau woman...

N. Carolina Rep. Murphy joins powerful Ways and Means panel

Jan. 19, 2022 18:39 PM EST

GREENVILLE, N.C. (AP) — North Carolina U.S. Rep. Greg Murphy joined the House's powerful tax-writing committee on Wednesday, marking a significant boost in influence for the Pitt County Republican, even while serving in the minority. Murphy's appointment to the House Ways and...

What the No Surprises Act means for your medical bills

Jan. 19, 2022 07:34 AM EST

More Americans worry about unexpected medical bills than any other expense, according to polls by the Kaiser Family Foundation in 2018 and 2020. Unfortunately, those bills aren’t rare: 18% of emergency visits and 16% of in-network hospital stays had at least one out-of-network...

Florida Democrat sworn in as newest member of House

Jan. 18, 2022 19:46 PM EST

WASHINGTON (AP) — Democratic Rep. Sheila Cherfilus-McCormick of Florida was sworn in as the newest member of the House on Tuesday, filling the seat last held by Alcee Hastings, who died in April of pancreatic cancer. She'll boost the Democrats’ slender House majority to 222-212,...

NC woman pleads guilty to healthcare fraud conspiracy

Jan. 14, 2022 08:21 AM EST

WILMINGTON, N.C. (AP) — A North Carolina woman has pleaded guilty to conspiring with the owner of a pharmacy and others to bill fraudulent claims to Medicare, Medicaid, and private health insurers, a federal prosecutor says. Michael Easley, U.S. Attorney for the Eastern District of...

Biogen tumbles after Medicare lays out Aduhelm coverage plan

Jan. 12, 2022 17:05 PM EST

Shares of Biogen slid Wednesday, a day after federal regulators slapped coverage limitations on the drugmaker’s new Alzheimer’s disease treatment. The Centers for Medicare and Medicaid Services said Tuesday after markets closed that patients taking Biogen’s Aduhelm will have...

Baton Rouge activist says he'll challenge Kennedy for Senate

Jan. 12, 2022 16:26 PM EST

BATON ROUGE, La. (AP) — Baton Rouge community activist Gary Chambers says he’ll enter this year’s Senate race in Louisiana against first-term incumbent John Kennedy, becoming the second Democrat to announce a challenge to the Republican. Luke Mixon, a former Navy pilot,...

Medicare limits coverage of $28,000-a-year Alzheimer's drug

Jan. 11, 2022 20:45 PM EST

WASHINGTON (AP) — Medicare said Tuesday it will limit coverage of a $28,000-a-year Alzheimer’s drug whose benefits have been widely questioned, a major development in the nation’s tug-of-war over the fair value of new medicines that offer tantalizing possibilities but come with prohibitive...

Montana psych hospital failed to properly investigate death

Jan. 11, 2022 19:00 PM EST

HELENA, Mont. (AP) — Employees at Montana's state psychiatric hospital failed to properly investigate the death of a patient who was reportedly told to go back to her room "and stop being dramatic," after she told staff she was having trouble catching her breath, a federal report said. ...