After an unprecedented crackdown on misleading advertising claims by insurers selling private Medicare Advantage and drug plans, the Biden administration hopes to unleash a special weapon to make sure companies follow the new rules: you.
Feds rein in use of predictive software that limits care for Medicare Advantage patients
The tool often predicts a patient’s date of discharge, which coincides with the date their insurer cuts off coverage, even if the patient needs further treatment that government-run Medicare would provide.
A COVID test Medicare scam may be a trial run for further fraud
Medicare coverage for at-home COVID-19 tests ended last week, but the scams spawned by the temporary pandemic benefit could have lingering consequences for seniors.
