Today’s Hot Topics in Medicare News

Man accused of pizza party Medicare fraud scheme in Nebraska, Iowa Man faces charges for fraudulent health care claims

BY ASSOCIATED PRESS: A U.S. District Court complaint filed earlier this month says Nereus Sutko committed health care fraud that began in November 2010 and continued into this month. Sutko’s attorney, Adam Sipple, said Monday that Sutko will plead not guilty. Sipple declined to comment further about the allegations. (read more)

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There's never been an easy way for Medicare beneficiaries to save on services and products not covered by Medicare alone, until now.

‘Medicare for All’s’ rich benefits ‘leapfrog’ other nations

BY RICARDO ALONSO-ZALDIVAR: The ” Medicare for All” plan embraced by leading 2020 Democrats appears more lavish than what other advanced countries offer, compounding the cost but also potentially broadening its popular appeal. 

The plan from Vermont Sen. Bernie Sanders would charge no copays or deductibles for medical care, allowing only limited cost-sharing for some prescription drugs. It would cover long-term care at home and in community settings. Dental, vision and hearing coverage would be included. (read more)

Medicare Advantage Dual Eligibles Have Fewer ER Visits Than Those Under FFS

BY JACK O’BRIEN: The cost of care and rate of hospitalizations for dual eligible Medicare Advantage (MA) beneficiaries was considerably lower than dual eligibles under fee-for-service (FFS), according to an Avalere Health study released Tuesday evening.

Dual eligible MA populations averaged healthcare costs of $11,159 compared to $13,398 for dual eligible FFS populations. Even among non-dual eligible populations, MA members only exceeded FFS non-dual eligibles by $820. (read more)

Medicare patrol issues advisory about DNA, cancer tests

BY CEDAR REPUBLICAN STAFF: The Missouri Senior Medicare Patrol is advising older adults to be wary of providers who offer free DNA, genetic or cancer testing in exchange for patients’ Medicare information.

The Missouri SMP, which empowers seniors to prevent Medicare fraud, has received reports of salespeople going door to door in senior housing units to offer cancer screenings that test DNA and genetics. (read more)

‘Medicare for All’ Falters as Top Democrats Fret Over Backlash

BY SAHIL KAPUR: The “Medicare for All” push is hitting serious obstacles in the U.S. House in the face of resistance from Democratic leaders concerned that replacing the private insurance system would generate backlash from voters who like their coverage.

The House Budget Committee is holding a hearing on Wednesday to explore “design components and considerations for establishing a single-payer health care system,” which could serve as a preliminary step toward overhauling how Americans get health insurance coverage. (read more)

The new Medicare Plus Card saves you up to 75% on things not covered by Medicare

Medicare doesn’t cover everything. Luckily, those on Medicare can now start saving on out of pocket expenses like prescription drugs, dental, vision, hearing, and more. Over 1 million people have already received their free Medicare Plus Card.

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