Douglas Robinson+FollowMedicare’s Sneaky Hospital Status TrapEver heard of the “Observation Status” hospital loophole? It’s costing seniors thousands! You can be in a hospital bed for days, but if you’re not officially “admitted,” Medicare won’t pay for your rehab after. Hospitals use tricks like clock manipulation, delayed paperwork, and “virtual” observation to keep you in coverage limbo. If you or your parents are ever hospitalized, double-check your status ASAP—otherwise, you could be stuck with a massive bill. Anyone else’s family get burned by this? #Health #BodyHealth #Medicare102Share
BlissfulBlizzard+FollowAs a nurse, I see both sides and it’s breaking my heart.I work as an RN at a community hospital in Missouri. Every week we see people showing up in the ER for problems that should’ve been handled months ago — infections, untreated diabetes, simple things that turned serious. Now, with these new Medicaid work requirements, I can already tell what’s going to happen: more people will fall through the cracks. Not because they’re lazy, but because they don’t understand the paperwork, can’t log hours online, or simply don’t meet the arbitrary definition of “working enough.” Healthcare folks are exhausted too. We patch people up, send them home, and know deep down they’ll be back in a few weeks worse off. I wish policymakers could stand in our ER for just one day and see what happens when bureaucracy replaces compassion. How are other healthcare workers feeling about this change? #MedicaidMatters #Medicare 201Share
Ashley Johnson+FollowMedicare’s New Chronic Care GamechangerBig news for anyone in healthcare or with loved ones on Medicare: CMS is rolling out the ACCESS Model, a 10-year program that pays providers for actually improving chronic conditions (think diabetes, high blood pressure, depression) instead of just billing for visits. Providers get bonuses for real results, and patients can enroll directly. Plus, there’s a tech twist—think telehealth, wearables, and digital health tools. Applications open Jan 12, 2026. This could totally shake up how chronic care is managed! #Health #BodyHealth #Medicare122Share
james60+FollowMedicare’s $100M Wellness MakeoverOriginal Medicare is about to get a serious upgrade! The new MAHA ELEVATE Model is putting $100 million into holistic health—think nutrition coaching, fitness programs, and even dementia care. Instead of just treating illness, Medicare will test out lifestyle medicine to actually prevent chronic disease. If you’re in healthcare, keep an eye out for funding opportunities in 2026. Could this finally mean more coverage for things like nutrition and wellness? Fingers crossed! #Health #BodyHealth #Medicare00Share
Terry Brown+FollowMedicare's Sneaky Hospital Bill SurprisesThought Medicare covered your whole hospital stay? Not quite! After 60 days, you start paying daily, and some things aren’t covered at all—like private rooms, private nurses, TVs, phones, and even the first three pints of blood. Even during those first 60 days, these extras can add up fast. No wonder 75% of retirees are confused about what Medicare actually pays for. Always double-check what’s included before you get stuck with a surprise bill! #Health #BodyHealth #Medicare191Share
maria25+FollowMedicare Ghost Networks Are Out of ControlEver checked your Medicare plan, found your doctor listed, booked an appointment—then got hit with a surprise 'out-of-network' bill at the office? Welcome to the world of 'Ghost Networks.' Insurers are quietly narrowing networks, and you might not know until you’re in the waiting room. From mid-year provider dropouts to sneaky facility fees and tiered co-pays, these six hidden changes are catching everyone off guard. Pro tip: double-check with your provider before every visit, and if you get burned, you might qualify for a plan switch! #Health #BodyHealth #Medicare20Share
Donald Jones DDS+FollowAI Now Decides Your Medicare Procedures?!Medicare just got a techy twist: over 6 million Americans in six states will need AI approval before getting 17 types of medical procedures. The WISeR program says it’s about cutting waste, but critics warn it could mean more delays and paperwork for seniors. Some are calling it a sneaky move to privatize Medicare. Would you trust AI with your healthcare decisions? #Health #BodyHealth #Medicare20Share
David Hernandez+FollowMedicare’s 2026 Drug List ShockersDid you know Medicare Part D is dropping coverage for some big-name prescriptions in 2026? Humira, Viagra, Wegovy, and even hair loss meds like finasteride are getting the boot! Even if you have a legit prescription, you might be paying out of pocket. Always double-check your plan before refilling, or you could be in for a nasty surprise at the pharmacy. Time to check your meds list and avoid a wallet meltdown! #Health #BodyHealth #Medicare530Share
David Hernandez+FollowMedicare Price Caps: Cancer Breakthroughs at Risk?Medicare’s new price controls on prescription drugs are already shaking up the pharma world—before they even kick in! Drugmakers are ditching research projects, especially those small-molecule pills that have been game-changers for cancer. Experts warn this could mean way fewer new treatments down the line, all thanks to rules from the Inflation Reduction Act. If you or someone you love is hoping for a medical breakthrough, this policy shift could be a big deal. #Health #BodyHealth #Medicare10Share
Lori Elliott+FollowMedicare Shakeup: Coverage Cliff Alert!Major heads-up: thousands of retirees could lose their Medicare gap coverage next month after UCare bails on its supplement plans. This isn’t just a minor change—if you don’t act fast, you could get hit with surprise medical bills as premiums and deductibles jump in 2026. With both Medigap and Medicare Advantage plans shrinking, it’s a confusing mess. If you or someone you know is on Medicare, double-check every letter and act now—doing nothing could cost big! #Health #BodyHealth #Medicare51Share