medicare
United Healthcare billing practices being scrutinized by Dept. of Justice
Probably the nation’s largest healthcare provider, United Healthcare (UHC) Group, has confirmed that it will fully cooperate with an investigation by the Federal Department of Justice (DOJ) into its Medicare billing practices. Professing full confidence that UHC’s billing processes are…
Should “means testing” exist for Social Security and Medicare?
In this somewhat unconventional opinion piece, the author opines that both the Social Security and Medicare programs are suffering financial difficulties, largely because many who receive benefits do not actually need them. The author, himself a fairly affluent businessman, contends…
What you should know about Medicare
Medicare is the nation’s most important healthcare program. In fact, over 68 million people are now enrolled in this important program, enacted in 1965 by President Lyndon Johnson. But as encompassing and important as Medicare is, it doesn’t cover all…
Prior Authorization Targeted by CMS Medicare
Under the guise of fraud and waste prevention, the Centers for Medicare & Medicaid Service (CMS),along with dozens of large healthcare insurance companies, have revealed forthcoming changes to the “Prior Authorization” process. Prior Authorization is a process used by various…
Demystifying the Federal Payroll Tax
Nearly all workers pay it, but very few understand it – the Federal Payroll Tax. With few exceptions,[1] everyone who works and earns pays the federal payroll tax from their earnings – that’s about 175 million American workers. The tax, first…
Your Social Security benefit won’t be cut in 2026
If you are worried about your Social Security payment going down in 2026, you likely should not be. Your monthly benefit is based upon your lifetime earnings while working and, except for cost-of-living adjustments (increases), your monthly payment will not…
Do you qualify for a Medicare Special Needs Plans?
Individuals eligible for both Medicare and Medicaid coverage are referred to as Medicare dual-eligible. The individual can enroll in a Special Needs Plan (SNP) where a Medicare Advantage (MA) plan coordinates the care plan designed to provide targeted care and…
What does Medicare-approved amount mean?
Do you know the difference between what your provider bills Medicare and the amount paid by Medicare? It is called the Medicare-approved amount. The Medicare-approved amount is the total payment that Medicare has agreed to pay a health care provider…
Estimated 2026 Part B premium
Most of us did not read the entire 267 pages of the 2025 Medicare Trustees report. If you did, you would already know that the Trustees are projecting the 2026 Part B premium to be $206.50, an 11.6 percent increase.…
Americans underestimate the cost of long-term care
Medicare and most health insurance, including Medicare Supplement Insurance (Medigap), don’t pay for long-term care. This type of care (also called “custodial care” or “long-term services and support”) includes medical and non-medical care for people who have a chronic illness…