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MEDICARE


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2 days ago

AARP warns of scams as Medicare open enrollment set to begin

Read full article: AARP warns of scams as Medicare open enrollment set to begin

Open enrollment for Medicare begins on Wednesday, Oct. 15. Unfortunately, this means scammers will be more likely to take advantage of those trying to sign up.

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Government shutdown raises concerns for community health centers in Virginia

Read full article: Government shutdown raises concerns for community health centers in Virginia

Access to medical care is already a major issue in rural Virginia, particularly in the southwest region. The ninth congressional district of Virginia has more than 60 community health centers, more than any other district in the state.

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Virginiaโ€™s Attorney General Miyares launches investigation into insulin pricing

Read full article: Virginiaโ€™s Attorney General Miyares launches investigation into insulin pricing

Virginiaโ€™s Attorney General, Jason Miyares, announced Tuesday his office is investigating ย whether manufacturers and pharmacy benefit managers (PBMs) have artificially inflated prices while โ€œdeceiving consumersโ€. His office said in a press release the probe could uncover violations of the stateโ€™s Consumer Protection Act.

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Trump tax law could cause Medicare cuts if Congress doesn't act, CBO says

Read full article: Trump tax law could cause Medicare cuts if Congress doesn't act, CBO says

The federal budget deficits caused by President Donald Trumpโ€™s tax and spending law could trigger automatic cuts to Medicare if Congress does not act, according to the nonpartisan Congressional Budget Office.

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UnitedHealth says it is under a federal investigation and cooperating

Read full article: UnitedHealth says it is under a federal investigation and cooperating

UnitedHealth Group says it is cooperating with federal criminal and civil investigations involving its market-leading Medicare business.

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Local rural hospitals brace for effects of โ€œBig Beautiful Billโ€

Read full article: Local rural hospitals brace for effects of โ€œBig Beautiful Billโ€

Rural hospitals across Virginia are being forced to make painful decisions when it comes to their budget.

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Medicare and Social Security go-broke dates pushed up due to rising health care costs, new SSA law

Read full article: Medicare and Social Security go-broke dates pushed up due to rising health care costs, new SSA law

The go-broke dates for Medicare and Social Securityโ€™s trust funds have moved up as rising health care costs and new legislation affecting Social Security benefits have contributed to closer projected depletion dates.

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As GOP pushes spending cuts, many say Medicaid and food stamps are underfunded: AP-NORC poll

Read full article: As GOP pushes spending cuts, many say Medicaid and food stamps are underfunded: AP-NORC poll

A new poll shows most U.S. adults donโ€™t think the government is overspending on the programs Republicans in Congress have focused on cutting, like Medicaid and food stamps.

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Trump signs executive order setting 30-day deadline for drugmakers to lower prescription drug costs

Read full article: Trump signs executive order setting 30-day deadline for drugmakers to lower prescription drug costs

President Donald Trump has signed an executive order setting a 30-day deadline for drugmakers to electively lower the cost of prescription drugs in the U.S. or face new limits down the road over what the government will pay.

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CVS Health rides improving Medicare business to better-than-expected first quarter

Read full article: CVS Health rides improving Medicare business to better-than-expected first quarter

CVS Health hiked its 2025 forecast above Wall Streetโ€™s expectations after improving Medicare benefits contributed to a better-than-expected first quarter.

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What are the major issues in Australia's election Saturday?

Read full article: What are the major issues in Australia's election Saturday?

Australians are voting Saturday in a general election that will be dominated by the soaring cost of living, the economy, energy and China.

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Trump administration nixes plan to cover anti-obesity drugs through Medicare

Read full article: Trump administration nixes plan to cover anti-obesity drugs through Medicare

President Donald Trumpโ€™s administration has decided not to cover expensive, high-demand obesity treatments under the government-funded Medicare program.

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Top US health agency makes $25,000 buyout offer to most of its employees

Read full article: Top US health agency makes $25,000 buyout offer to most of its employees

Most of the 80,000 federal workers responsible for researching diseases, inspecting food and administering Medicare and Medicaid under the auspices of the Health and Human Services Department were emailed an offer to leave their job for as much as a $25,000 payment.

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Elon Musk's DOGE commission gains access to sensitive Treasury payment systems: AP sources

Read full article: Elon Musk's DOGE commission gains access to sensitive Treasury payment systems: AP sources

The Department of Government Efficiency, run by President Donald Trumpโ€™s billionaire adviser and Tesla CEO Elon Musk, has gained access to sensitive Treasury data including Social Security and Medicare customer payment systems.

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Ozempic, Wegovy and other drugs are among 15 selected for Medicare's price negotiations

Read full article: Ozempic, Wegovy and other drugs are among 15 selected for Medicare's price negotiations

The Biden administration says popular weight loss drugs like Ozempic and Wegovy have been added to Medicareโ€™s list of medications that will be negotiated directly between the government and drug manufacturers.

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Cheap Ozempic? How millions of Americans with obesity may get access to costly weight-loss drugs

Read full article: Cheap Ozempic? How millions of Americans with obesity may get access to costly weight-loss drugs

Millions of obese Americans would get access to popular weekly injectables that would help them shed pounds quickly if a $35 billion proposal from the Biden administration is blessed by President-elect Donald Trump.

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Walz unveils Harris' plan for rural voters as campaign looks to cut into Trump's edge

Read full article: Walz unveils Harris' plan for rural voters as campaign looks to cut into Trump's edge

Democratic vice presidential nominee Tim Walz unveiled his ticketโ€™s plans to improve the lives of rural voters as Vice President Kamala Harris looks to cut into former President Donald Trumpโ€™s support.

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Medicare Advantage shopping season arrives with a dose of confusion and some political implications

Read full article: Medicare Advantage shopping season arrives with a dose of confusion and some political implications

Thinner benefits and coverage changes await many older Americans shopping for health insurance this fall.

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An appeals court has revived a challenge to President Biden's Medicare drug price reduction program

Read full article: An appeals court has revived a challenge to President Biden's Medicare drug price reduction program

A constitutional challenge to the Biden administration program enabling Medicare to negotiate lower prices for prescription drugs has been revived by a federal appeals court.

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At debate, Biden meant to say he had beaten 'big pharma,' not Medicare

Read full article: At debate, Biden meant to say he had beaten 'big pharma,' not Medicare

At least one mystery about President Joe Bidenโ€™s often convoluted answers during the presidential debate has been solved.

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Lost chances to treat overdose survivors are documented in new Medicare study

Read full article: Lost chances to treat overdose survivors are documented in new Medicare study

People on Medicare who survived a drug overdose were much more likely to later receive opioid painkillers than any medication to treat addiction โ€” and some went on to die of an overdose.

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Can Medicare money protect doctors from abortion crimes? It worked before, desegregating hospitals

Read full article: Can Medicare money protect doctors from abortion crimes? It worked before, desegregating hospitals

The Supreme Court's decision regarding Idaho's abortion ban may hinge on whether federal spending power can protect doctors against a state's criminal code.

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Medicare and Social Security go-broke dates are pushed back in a 'measure of good news'

Read full article: Medicare and Social Security go-broke dates are pushed back in a 'measure of good news'

The go-broke dates for benefit programs Medicare and Social Security have been pushed back as an improving economy has contributed to changed projected depletion dates, according to the annual Social Security and Medicare trustees report.

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CVS Health chops 2024 forecast as cost struggles with Medicare Advantage persist

Read full article: CVS Health chops 2024 forecast as cost struggles with Medicare Advantage persist

CVS Health missed first-quarter expectations and chopped its 2024 outlook more than a dollar below Wall Streetโ€™s forecast.

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About 1 in 4 US adults 50 and older who aren't yet retired expect to never retire, AARP study finds

Read full article: About 1 in 4 US adults 50 and older who aren't yet retired expect to never retire, AARP study finds

About one-quarter of U.S. adults age 50 and older who aren't yet retired say they expect to never retire and 70% are concerned about prices rising faster than their income.

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Biden sees a $35 price cap for insulin as a pivotal campaign issue. Itโ€™s not that clear-cut

Read full article: Biden sees a $35 price cap for insulin as a pivotal campaign issue. Itโ€™s not that clear-cut

President Joe Biden frequently cites insulin prices as he promotes a $35 price cap for Americans with diabetes who are on Medicare.

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Medicare can pay for obesity drugs like Wegovy in certain heart patients

Read full article: Medicare can pay for obesity drugs like Wegovy in certain heart patients

Certain Medicare patients may get help paying for the popular weight-loss drug Wegovy, as long as they also have heart disease.

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Biogen will stop selling its controversial Alzheimer's drug Aduhelm

Read full article: Biogen will stop selling its controversial Alzheimer's drug Aduhelm

Biogen will stop selling its Alzheimerโ€™s treatment Aduhelm.

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The federal debt tops $34 trillion and some in Congress want a commission to find ways to tackle it

Read full article: The federal debt tops $34 trillion and some in Congress want a commission to find ways to tackle it

A bill to create a bipartisan commission that would tackle the nationโ€™s soaring debt and make policy recommendations to Congress has won approval from a House committee.

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10 drugs targeted for Medicare price negotiations as Biden pitches cost reductions

Read full article: 10 drugs targeted for Medicare price negotiations as Biden pitches cost reductions

President Joe Biden is touting his administration's efforts to lower medical costs.

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Insurers won't cover new Alzheimer's treatment for some customers

Read full article: Insurers won't cover new Alzheimer's treatment for some customers

Some private insurers are balking at paying for the first drug fully approved to slow mental decline in Alzheimerโ€™s patients.

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Alzheimerโ€™s drug Leqembi has full FDA approval now and that means Medicare will pay for it

Read full article: Alzheimerโ€™s drug Leqembi has full FDA approval now and that means Medicare will pay for it

U.S. officials granted full approval to a closely watched Alzheimerโ€™s drug on Thursday, clearing the way for Medicare and other insurance plans to begin covering the treatment for people with the brain-robbing disease.

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Merck sues federal government, calling plan to negotiate Medicare drug prices extortion

Read full article: Merck sues federal government, calling plan to negotiate Medicare drug prices extortion

Merck is suing the federal government over a plan to negotiate Medicare drug prices, calling the program a sham equivalent to extortion.

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Debt limit deal is in place, but budget deficit is still a multi-decade challenge for US government

Read full article: Debt limit deal is in place, but budget deficit is still a multi-decade challenge for US government

Even with new spending restraints included in the congressional debt limit deal, the U.S. governmentโ€™s deficits are still on course to keep climbing to record levels over the next few decades.

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Biden says he's expanding some migrants' health care access

Read full article: Biden says he's expanding some migrants' health care access

President Joe Biden says his administration is expanding eligibility for Medicaid and the Affordable Care Actโ€™s health insurance exchanges to hundreds of thousands of immigrants who were brought to the U.S. illegally as children.

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Most oppose Social Security, Medicare cuts: AP-NORC poll

Read full article: Most oppose Social Security, Medicare cuts: AP-NORC poll

Americans are deeply opposed to cutting into Medicare or Social Security benefits, and most support raising taxes on the nationโ€™s highest earners to keep Medicare running as is.

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Medicare, Social Security could fall short over next decade

Read full article: Medicare, Social Security could fall short over next decade

An annual report on Social Security and Medicare says the financial safety nets millions of older Americans rely on and millions more young people are counting on will run short on funds to pay full benefits within the next decade.

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Poll: Cut federal spending โ€” but not big-ticket programs

Read full article: Poll: Cut federal spending โ€” but not big-ticket programs

In the federal budget standoff, the majority of U.S. adults are asking lawmakers to pull off the impossible: Cut the overall size of government, but also devote more money to the most popular and expensive programs.

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Pence seeks 'common sense' Social Security, Medicare reform

Read full article: Pence seeks 'common sense' Social Security, Medicare reform

Former Vice President Mike Pence is calling for โ€œcommon sense and compassionate solutionsโ€ to reform entitlement programs and the nationโ€™s debt burden.

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Biden says he's focused 'intensely' on lowering drug costs

Read full article: Biden says he's focused 'intensely' on lowering drug costs

President Joe Biden says his administration is focused โ€œintenselyโ€ on lowering health care costs.

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Haley wants entitlement program changes for younger people

Read full article: Haley wants entitlement program changes for younger people

Republican presidential candidate Nikki Haley is proposing changes to entitlement programs for younger generations, opening the door to potential cuts to Social Security and Medicare if elected.

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Biden warns of 'MAGA' Republicans' desire to cut spending

Read full article: Biden warns of 'MAGA' Republicans' desire to cut spending

President Joe Biden says GOP lawmakers could put millions of peopleโ€™s health care at risk.

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Social Security and Medicare: Troubling math, tough politics

Read full article: Social Security and Medicare: Troubling math, tough politics

It seems no one wants to cut Social Security or Medicare benefits.

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WATCH LIVE: Biden to discuss strengthening Social Security, Medicare

Read full article: WATCH LIVE: Biden to discuss strengthening Social Security, Medicare

President Biden is in Tampa and will discuss his plan to protect and strengthen Social Security and Medicare and lower health care costs.

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In GOP-held Florida, Biden vows no cuts to Social Security

Read full article: In GOP-held Florida, Biden vows no cuts to Social Security

President Joe Biden is taking direct aim at Republicans who have floated cuts to Social Security and Medicare.

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Biden warns of GOP plans for Medicare, Social Security cuts

Read full article: Biden warns of GOP plans for Medicare, Social Security cuts

When President Joe Biden suggested that Republicans want to slash Medicare and Social Security it brought howls of protests from the GOP side of the aisle during the State of the Union address.

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Lots of sound and fury on US debt, but not a crisis โ€” yet

Read full article: Lots of sound and fury on US debt, but not a crisis โ€” yet

For all the sound and fury about raising the nation's debt limit, most economists say federal borrowing is not at a crisis point.

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Supreme Court skeptical of rejecting civil rights precedent

Read full article: Supreme Court skeptical of rejecting civil rights precedent

The Supreme Court seems likely to reject a call to overturn decades of precedent and limit the ability of individuals to use federal civil rights law to sue.

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Medicare enrollees warned about deceptive marketing schemes

Read full article: Medicare enrollees warned about deceptive marketing schemes

With Medicareโ€™s open enrollment underway, health experts are warning older adults about an uptick in misleading marketing tactics that might lead some to sign up for Medicare Advantage plans that donโ€™t cover their doctors or prescriptions and drive up their out-of-pocket costs.

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Consumer Reports: Thousands of people undergo unnecessary procedures

Read full article: Consumer Reports: Thousands of people undergo unnecessary procedures

During the first ten months of the COVID-19 pandemic, even when most cities were on lockdown, Medicare was billed for over $100,000 in overused or unnecessary surgeries or procedures according to the non-profit Lown Institute.

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Millions of Americans will save on Medicare fees next year

Read full article: Millions of Americans will save on Medicare fees next year

For the first time in a decade, Americans will pay less next year on monthly premiums for Medicareโ€™s Part B plan, which covers routine doctorsโ€™ visits and other outpatient care.

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Biden signs massive climate and health care legislation

Read full article: Biden signs massive climate and health care legislation

President Joe Biden has signed Democratsโ€™ landmark climate change and health care bill.

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Deal on Capitol Hill could ease seniors' health costs

Read full article: Deal on Capitol Hill could ease seniors' health costs

Some older Americans are cheering news of a deal on Capitol Hill that could lead to lower drug costs.

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Pharmacies can't discriminate on reproductive health scripts

Read full article: Pharmacies can't discriminate on reproductive health scripts

The Biden administration is warning pharmacies not to discriminate against women who may seek reproductive health prescriptions, including some that might be involved in ending a pregnancy.

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Dems want to tax high earners to protect Medicare solvency

Read full article: Dems want to tax high earners to protect Medicare solvency

Senate Democrats want to boost taxes on some high earners and use the money to extend the solvency of Medicare.

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Go-broke dates pushed back for Social Security, Medicare

Read full article: Go-broke dates pushed back for Social Security, Medicare

A stronger-than-expected economic recovery from the pandemic has pushed back the go-broke dates for Social Security and Medicare, but officials warn that the current economic turbulence is putting additional pressures on the bedrock retirement programs.

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Medicare recipients to see premium cut โ€” but not until 2023

Read full article: Medicare recipients to see premium cut โ€” but not until 2023

Medicare recipients will get a premium reduction โ€” but not until next year.

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Change at the top for Biogen after Alzheimer's drug flops

Read full article: Change at the top for Biogen after Alzheimer's drug flops

Biogen is looking for a new CEO less than a year after its launch of its Alzheimerโ€™s drug Aduhelm largely fizzled.

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Medicare weighs premium cut after limiting Alzheimer's drug

Read full article: Medicare weighs premium cut after limiting Alzheimer's drug

Medicare says itโ€™s considering a cut in enrollee premiums, after officials stuck with an earlier decision to sharply limit coverage for a pricey new Alzheimerโ€™s drug projected to drive up program costs.

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Medicare enrollees to get free COVID-19 tests at drug stores

Read full article: Medicare enrollees to get free COVID-19 tests at drug stores

Medicare says that millions of enrollees will finally have access to free over-the-counter COVID-19 tests at drug stores.

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House passes $35-a-month insulin cap as Dems seek wider bill

Read full article: House passes $35-a-month insulin cap as Dems seek wider bill

The House has passed a bill capping the monthly cost of insulin at $35 for insured patients.

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COVID pandemic's end may bring turbulence for US health care

Read full article: COVID pandemic's end may bring turbulence for US health care

When the end of the COVID-19 pandemic comes, it could create major disruptions for U.S. health care.

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Limits on insulin costs revived in push for Senate action

Read full article: Limits on insulin costs revived in push for Senate action

Legislation to limit insulin costs for people with diabetes is getting a new push in the Senate.

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Two popular bills, two problems: It's never easy in Senate

Read full article: Two popular bills, two problems: It's never easy in Senate

Two widely supported bills are encountering delays in the Senate.

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Medicare opens up access to free at-home COVID-19 tests

Read full article: Medicare opens up access to free at-home COVID-19 tests

The Biden administration says people with Medicare will be able to get up to eight free over-the-counter COVID-19 tests per month, starting in early spring.

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Medicare posts key nursing home staffing info for consumers

Read full article: Medicare posts key nursing home staffing info for consumers

Medicare says it's shining a light on key markers for nursing home quality.

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

Read full article: Medicare limits coverage of $28,000-a-year Alzheimer's drug

Medicare says it will limit coverage of a $28,000-a-year Alzheimerโ€™s drug whose benefits have been widely questioned.

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Medicare told to reassess premium hike for Alzheimer's drug

Read full article: Medicare told to reassess premium hike for Alzheimer's drug

U.S. health secretary Xavier Becerra is ordering Medicare to reassess a big premium increase facing millions of enrollees this year.

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Medicare urged to flex its power and slash back premium hike

Read full article: Medicare urged to flex its power and slash back premium hike

The head of a Senate panel that oversees Medicare says the Biden administration should cut back a hefty premium increase soon to hit millions of enrollees.

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$56K Alzheimerโ€™s drug avoiding Bidenโ€™s cost curbs, for now

Read full article: $56K Alzheimerโ€™s drug avoiding Bidenโ€™s cost curbs, for now

A new $56,000-a-year Alzheimerโ€™s medication thatโ€™s leading to one of the biggest increases ever in Medicare premiums is highlighting the limitations of President Joe Bidenโ€™s strategy for curbing prescription drug costs.

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Sanders to Biden: Cut back looming Medicare premium hike

Read full article: Sanders to Biden: Cut back looming Medicare premium hike

Sen. Bernie Sanders is asking the White House to cut back a big Medicare premium hike set to take effect in weeks and tied to a pricey Alzheimerโ€™s drug whose benefits have been widely questioned.

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Cap on drug price hikes for privately insured sparks battle

Read full article: Cap on drug price hikes for privately insured sparks battle

Workers and families with private health insurance would reap savings on prescription drugs from a little-noticed provision in President Joe Biden's social agenda bill.

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What you need to know about Medicareโ€™s new advantage plans

Read full article: What you need to know about Medicareโ€™s new advantage plans

Bridget chats with two representatives from Anthem Blue Cross and Kroger to better understand the new insurance plans available to you.

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Alzheimer's drug cited as Medicare premium jumps by $21.60

Read full article: Alzheimer's drug cited as Medicare premium jumps by $21.60

Medicareโ€™s โ€œPart Bโ€ outpatient premium will jump by $21.60 a month in 2022, one of the largest increases ever.

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Real Medicare drug savings in Dems' bill โ€” but not overnight

Read full article: Real Medicare drug savings in Dems' bill โ€” but not overnight

Medicare enrollees who take expensive medicines could save thousands of dollars a year under the Democratsโ€™ sweeping social agenda bill, but those dividends wonโ€™t come overnight.

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Democrats reach drug price deal, Biden upbeat on Manchin

Read full article: Democrats reach drug price deal, Biden upbeat on Manchin

Democrats say they have sealed a deal to lower pharmaceutical drug costs for most older Americans as part of President Joe Bidenโ€™s sweeping $1.75 trillion domestic proposal.

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Paid leave, immigration, tax changes added to Biden bill

Read full article: Paid leave, immigration, tax changes added to Biden bill

House Democrats have added paid family and medical leave, immigration law changes and a state-and-local tax break to President Joe Biden's $1.75 trillion social services and environmental bill.

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Dems see progress in adding drug cost curbs to budget bill

Read full article: Dems see progress in adding drug cost curbs to budget bill

Two congressional aides say Democrats have made significant progress on adding compromise provisions curbing prescription drug prices to their massive social and environment package.

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Medicaid issues, not Medicare's, get fixes in Biden budget

Read full article: Medicaid issues, not Medicare's, get fixes in Biden budget

Medicaid issues are turning up as winners in President Joe Bidenโ€™s social budget framework even as divisions force Democrats to hit pause on far-reaching improvements to Medicare.

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Ban on negotiating Medicare drug prices under pressure

Read full article: Ban on negotiating Medicare drug prices under pressure

Negotiating Medicare drug prices is a linchpin of President Joe Biden's ambitious health care agenda.

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Agonizing choices as Dems debate shrinking health care pie

Read full article: Agonizing choices as Dems debate shrinking health care pie

Democrats are fretting about how theyโ€™d divide a shrinking pie amid signs that negotiations over President Joe Bidenโ€™s massive domestic policy bill could yield a smaller serving of health care spending.

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House panel rejects drug pricing plan in setback to Biden

Read full article: House panel rejects drug pricing plan in setback to Biden

A House committee has dealt an ominous if tentative blow to President Joe Bidenโ€™s social and environment package.

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COVID recession pushed Social Security insolvency up a year

Read full article: COVID recession pushed Social Security insolvency up a year

The sharp shock of the coronavirus recession pushed Social Security a year closer to insolvency but left Medicareโ€™s exhaustion date unchanged, the government reported Tuesday.

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WATCH: Pres. Biden speaks about the need for COVID-19 booster shots for Americans by September

Read full article: WATCH: Pres. Biden speaks about the need for COVID-19 booster shots for Americans by September

On Wednesday at 4:30 p.m., President Joe Biden is expected to address the nation about the need for, along with the availability of, COVID-19 booster shots by September.

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As COVID rises, a vexing hunt for nursing home vaccine stats

Read full article: As COVID rises, a vexing hunt for nursing home vaccine stats

With COVID-19 on the rise again and many nursing home staffers unvaccinated, families still lack easy access to crucial Medicare immunization data that will help them pick the right facility for their loved one.

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Watchdog: Nursing home deaths up 32% in 2020 amid pandemic

Read full article: Watchdog: Nursing home deaths up 32% in 2020 amid pandemic

A government watchdog says that deaths among Medicare patients in nursing homes soared by 32% last year amid the coronavirus pandemic.

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Democrats see springboard for health care in high court win

Read full article: Democrats see springboard for health care in high court win

The Affordable Care Act is now secure in the framework of the nationโ€™s health care programs, and Democrats are eager to leap above and beyond.

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To curb drug prices, Democrats still seeking a balance

Read full article: To curb drug prices, Democrats still seeking a balance

Democrats are committed to passing legislation this year to curb prescription drug prices.

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Medicare copays for new Alzheimer's drug could reach $11,500

Read full article: Medicare copays for new Alzheimer's drug could reach $11,500

A new report says the $56,000 Alzheimerโ€™s drug approved this week would raise Medicare premiums broadly.

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Feds take down Medicare scams that preyed on virus fears

Read full article: Feds take down Medicare scams that preyed on virus fears

The Justice Department is announcing criminal charges against more than a dozen people from Florida to California in a series of Medicare scams that exploited coronavirus fears to bill tens of millions of dollars in bogus claims.

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Medicare requires nursing homes to report COVID vaccinations

Read full article: Medicare requires nursing homes to report COVID vaccinations

Medicare says it will require nursing homes to report COVID-19 vaccination rates for residents and staff.

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Democrats must find narrow path to curb high medicine prices

Read full article: Democrats must find narrow path to curb high medicine prices

President Joe Bidenโ€™s call for authorizing Medicare to negotiate lower prescription drug prices has energized Democrats on a politically popular idea theyโ€™ve been pushing for nearly 20 years only to encounter frustration.

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Roanoke medical practice to pay $2.1 million for defrauding Medicare, Virginia Medicaid

Read full article: Roanoke medical practice to pay $2.1 million for defrauding Medicare, Virginia Medicaid

ROANOKE, Va. โ€“ A family-owned Roanoke business has to pay $2.1 million after fraudulently charging Medicare and Virginia Medicaid for medicine. Back in June 2020, Allergy and Asthma Associates (AAA) pleaded guilty for billing Medicare and Virginia Medicaid $627,540 for prescriptions medicine they did not purchase. โ€œWhen a medical practice fraudulently bills our Medicare and Medicaid programs, it diverts funds from the most vulnerable in our communities and must be held accountable,โ€ said Acting U.S. Attorney Daniel Bubar. AdReports also show that the company bought 129 vials of Xolair that werenโ€™t given to Medicaid patients, costing the health care program $88,878. The practice will pay $1,994,607 in settlement fees to the United States government and $154,648 to Virginia for violating the false claims act.

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Biden's Medicare pick would be 1st Black woman to hold post

Read full article: Biden's Medicare pick would be 1st Black woman to hold post

The agency oversees government health insurance programs covering more than 1 out of 3 Americans and is a linchpin of the health care system. CMS also plays a central role in the nationโ€™s $4 trillion health care economy, setting Medicare payment rates for hospitals, doctors, labs and other service providers. The agency also sets standards that govern how health care providers operate. โ€œShe is well-respected and liked by the department veterans who have worked with her in the past.โ€Years ago, Brooks-LaSure worked with Biden's nominee to run HHS, California Attorney General Xavier Becerra. AdUnder Biden, Brooks-LaSure will be expected to grow Obamacare enrollment by promoting HealthCare.gov and trying to persuade holdout states to adopt Medicaid expansion.

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Trump plan to curb drug costs dealt setback in court

Read full article: Trump plan to curb drug costs dealt setback in court

The Trump regulation would tie what Medicare pays for certain drugs administered in a doctor's office to the lowest price paid among a group of economically advanced countries. Some opponents have likened the Trump policy to a form of socialist price controls. Trump came into office accusing drug companies of โ€œgetting away with murderโ€ and promising to slash costs for American patients. Even if the Trump rule is ultimately blocked, the idea of using international prices to lower costs for Americans is very much alive. It's at the heart of House Speaker Nancy Pelosi's legislation to empower Medicare to negotiate drug prices.

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Trump tries to revive stalled election-eve drug discounts

Read full article: Trump tries to revive stalled election-eve drug discounts

FILE - In this Oct. 10, 2020, file photo, President Donald Trump speaks from the Blue Room Balcony of the White House to a crowd of supporters in Washington. (AP Photo/Alex Brandon, File)WASHINGTON โ€“ The Trump administration is trying to revive the president's stalled election-eve plan to send millions of Medicare recipients a $200 prescription discount card. White House spokesman Judd Deere confirmed the administration is continuing to move forward. โ€œItโ€™s simply good policy, and demonstrates President Trump is continuing to deliver on his promises to our nationโ€™s seniors to lower drug prices." Pallone dismissed the latest White House push.

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Trump makes late-term bid to lower prescription drug costs

Read full article: Trump makes late-term bid to lower prescription drug costs

WASHINGTON โ€“ Trying to close out major unfinished business, the Trump administration issued regulations Friday that could lower the prices Americans pay for many prescription drugs. The Trump administration disputes that and says its rule could potentially result in 30% savings for patients. Trump has taken other action to lower prescription drug costs by opening a legal path for importing medicines from abroad. Also, Medicare drug plans that cap insulin costs at $35 a month are available during open enrollment, currently underway. The Food and Drug Administration has put a priority on approving generics, which cost less.

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Biden has room on health care, though limited by Congress

Read full article: Biden has room on health care, though limited by Congress

And just like the Trump administration, Biden is expected to aggressively wield the rule-making powers of the executive branch to address health insurance coverage and prescription drug costs. With COVID-19 surging across the country, Biden's top health care priority is whipping the federal governmentโ€™s response into shape. โ€œWeโ€™re going to work quickly with the Congress to dramatically ramp up health care protections, get Americans universal coverage, lower health care costs, as soon as humanly possible,โ€ the president-elect said earlier this week. A factor that may work in Biden's favor is that many Republicans want to change the subject on health care. Coronavirus relief legislation could provide an early vehicle for some broader health care changes.

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Feds issue coverage plan for COVID-19 vaccine and treatments

Read full article: Feds issue coverage plan for COVID-19 vaccine and treatments

The regulations from the Centers for Medicare and Medicaid Services, or CMS, will also increase what Medicare pays hospitals for COVID-19 treatments. Under Wednesday's announcement:โ€” Seniors with traditional Medicare will pay nothing for COVID-19 vaccines, and any copays and deductibles are waived. โ€” The government will pay private Medicare Advantage plans to administer the vaccine to seniors. โ€” Workplace and individual health insurance plans will cover the COVID-19 vaccine as a preventive service, with no cost sharing. โ€” State Medicaid and Children's Health Insurance plans will have to provide vaccines for free for the duration of the coronavirus public health emergency.

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Medicare finalizing coverage policy for coronavirus vaccine

Read full article: Medicare finalizing coverage policy for coronavirus vaccine

WASHINGTON โ€“ Medicare will cover the yet-to-be approved coronavirus vaccine free for older people under a policy change expected to be announced shortly, a senior Trump administration official said Tuesday. It's questionable under normal circumstances if Medicare can pay for a drug that receives emergency use authorization from the Food and Drug Administration, as expected for the eventual coronavirus vaccine. A White House-backed initiative called โ€œOperation Warp Speedโ€ is pushing to have a vaccine ready for distribution in the coming months. States have already begun submitting their plans for vaccine distribution to the federal government. Initially, it's expected vaccines will go to people in high-risk groups such as medical personnel, frontline workers and nursing home residents and staff.

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