Indicted Medicare fraud suspect faces $2.05M foreclosure on Fort Lauderdale office condos

Federal prosecutors accused Harwood of $46 million in Medicare fraud.
Health Affairs

IRA Litigation: Pharma’s Failed Challenges To Medicare Drug Pricing

To date, every court that has considered substantive challenges to the Medicare drug price negotiation program has ruled ...
STAT

Federal government turns to fresher data to rein in Medicare Advantage upcoding

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also ...
CNBC

It's Medicare Advantage open enrollment: What to watch for, amid agency and insurer changes

Current Medicare Advantage enrollees have until March 31 to switch plans, either to another private Medicare Advantage plan or a government Medicare original coverage. Here's what experts say ...
The Conversation

Medicare is experimenting with having AI review claims – a cost‑saving measure that could risk denying needed care

Grace Mackleby receives funding from Arnold Ventures and the Commonwealth Foundation. Jeff Marr receives funding from Arnold Ventures and the National Institute on Aging. Medicare has launched a ...
Forbes

Congress Extends Medicare Telehealth Coverage For Two Years

President Trump signed into law a two-year extension of telehealth services for older adults covered by the Medicare health insurance program after Congress passed legislation on February 3, 2026.
The National Law Review

Medicare Telehealth Flexibilities- Countdown to January 30, 2026 (and What Comes Next)

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...
STAT

Trump administration signals there’s widespread desire to curb Medicare Advantage

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also ...
Wall Street Journal

Health Insurers in Shock After Medicare Holds Line on 2027 Payments

Wall Street believed the Trump administration was going to take a friendly approach to Medicare insurers. Now, investors think the industry might be in for a rough ride. Shares of big insurers plunged ...
The American Journal of Managed Care

CMS Proposes Nearly Flat 2027 Medicare Advantage Payment Rates

CMS proposes a 0.09% payment increase for MA and Part D, raising concerns about cost implications for insurers and beneficiaries. The proposal aims to improve payment accuracy and risk adjustment, ...
Wall Street Journal

The Medicare Charge That’s Taking a Bigger Bite Out of Social Security Checks

Elaine Young, a 66-year-old widow living near Philadelphia who does her own taxes, is confused and annoyed. “I got a letter from Social Security congratulating me on my 2.8% cost-of-living inflation ...
The New York Times

Kaiser Permanente Settles Medicare Fraud Claims for $556 Million

The Justice Department and whistle-blowers accused the major health insurer of overbilling the government for about $1 billion under the private plans. By Reed Abelson and Margot Sanger-Katz Kaiser ...