Print and complete the “ Medicare Redetermination Request — 1st Level of Appeal ” form. Gather evidence to support your claim. This could be anything that will help Medicare understand why ...

Medicare doesn’t cover drugs when people take them off-label. For this reason, it doesn’t cover the pill form of semaglutide for weight loss.

Original Medicare (parts A and B) plans do not cover fitness programs or gym memberships. However, many Medicare Advantage and Medigap plans offer this type of coverage as an additional benefit.

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...

The Centers for Medicare & Medicaid Services (CMS) has said it will announce the next 15 drugs in scope for the second round of the Medicare negotiation programme by 1st February next year, with ...

Pennsylvania is suing the USDA over cutting funding to a $1 billion food aid program for states By MARC LEVY The Associated Press,Updated June 4, 2025, 12:22 p.m.

HARRISBURG, Pa., June 4, 2025 /PRNewswire/ -- As World Elder Abuse Awareness Day approaches on June 15, AARP Pennsylvania is drawing attention to one of the most prevalent yet underreported forms ...

Ed Silverman, a senior writer and Pharmalot columnist at STAT, has been covering the pharmaceutical industry for nearly three decades. He is also the author of the morning Pharmalittle newsletter ...

If a person decides to cancel a Medicare appeal, they should call Medicare at 800-633-4227 (TTY: 877-486-2048). They will need to provide the following information: ...