Options for Medicare and Medicaid Dual Coverage People who are eligible for both Medicare and Medicaid benefits are referred to as dual eligible. A person may have partial or full dual eligibility.

Medical offices bill insurance providers for clients' services. Learn what's involved, including HIPAA regulations, what to include and what can go wrong.

Many Medicare enrollees are being steered into products that are “misaligned” with their best interests, according to a recent analysis from the Urban Institute. According to the September report, ...

Boris Vabson ([email protected]), Harvard University, Boston, Massachusetts. Andrew L. Hicks, Harvard University. Michael E. Chernew, Harvard University. Policy makers have been paying increasing ...

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 ...

A bipartisan group of lawmakers has introduced legislation in both chambers of Congress requiring Medicare Advantage (MA) plans to promptly pay out providers’ claims, with up to a $25,000 fine and ...

Ohio’s elderly population is about to become test subjects in a controversial experiment with potentially life-altering consequences, something that is raising alarm with the Today in Ohio podcast ...

It’s long been the practice of private health insurers to require “prior authorization” before you can get the treatment you need. Often, they’ll try to deny as many of these claims as possible — ...

Health insurance companies don’t always pay for items the first time coverage is requested, and they don’t cover everything they’re asked to. You, the consumer, may need to file an appeal to get the ...

If a person with Original Medicare disagrees with Medicare’s coverage decision, payment decision, or payment amount, they can complete and submit a Medicare appeal form. When a doctor, healthcare ...

My husband recently retired from his job, and because I am over 65, I need to sign up for Medicare. I went to the local office with the Medicare documents that Toni discusses in her Medicare articles: ...