The financial consequence of CMS’s survey of what hospitals pay for 340B drugs is easier to miss than the large number. An official source now fixes the amount, date and status for CMS’s survey of what hospitals pay for 340B drugs. Reading the official pieces together shows what a consumer can do about CMS’s survey…

A contract dispute between a hospital system and an insurer can become a household budget problem overnight. Nearly 380,000 Anthem members in Virginia are now facing that possibility, although their present coverage and in-network rates have not changed. The practical job is to prepare for a split without treating a negotiating notice as a finished…

UnitedHealthcare has extended in-network access to ECU Health’s hospitals through August 7. The day after that, those hospitals become out of network for the insurer’s commercial, Medicare Advantage and Individual Family Plan members across eastern North Carolina. What makes this one unusual is that the contract is not ending in a single moment. Different parts…

Medicare’s fall enrollment window and a major hospital network change are about to reach the same central Ohio households at almost the same moment. Humana members who get their care at The Ohio State University Wexner Medical Center or The James Cancer Center will be out of network before that enrollment window even opens. The…

If you carry a standalone Medicare drug plan, the only question that really matters each fall is whether your premium is about to move and by how much. The answer for 2027 begins with a figure that never appears on a bill: a national benchmark Medicare uses to split the cost of the drug program…

As of this writing, NewYork-Presbyterian’s hospitals and medical groups are still in-network for UnitedHealthcare Medicare Advantage members — under an extension that expires August 31, 2026. If the two sides do not sign a new contract by then, most of those members would find one of New York’s largest hospital systems out-of-network on September 1.…

When a Medicare Advantage plan shuts down or stops serving your area, federal law hands you something valuable with a short fuse: the right to buy a Medigap policy that an insurance company cannot refuse you. The clock on that right runs out 63 days after your old coverage ends. Most people have never heard…

For eligible people with Medicare drug coverage, a monthly supply of certain GLP-1 weight-loss medications now costs $50 at the pharmacy — a flat, predictable copay for a class of drugs whose price has kept them out of reach for many older Americans. The discount is not a coupon and not a private insurer’s perk.…

A preventive colonoscopy can begin with a zero-dollar Medicare cost and end with coinsurance if the doctor removes tissue. Medicare’s current rule says an assigned screening costs nothing, but finding and removing a polyp or other tissue creates 15% coinsurance for the provider’s services and, in an outpatient facility, another 15% facility coinsurance. The Part…

A monthly income of $1,350 can put a single Medicare beneficiary at the usual 2026 federal limit for the Qualified Medicare Beneficiary program. QMB is unusually valuable because it can cover Part A and Part B premiums and the deductibles, coinsurance and copayments attached to Medicare-covered care. The figure is a reason to apply, not…