News
Pharmacy Claims Go Unchecked: Maryland Audit Flags $674.5M In Payments
1+ hour, 27+ min ago (649+ words) ANNAPOLIS, Md. — The Maryland Department of Health failed to routinely audit pharmacy claims across three state programs responsible for approximately $674.5 million in payments during fiscal year 2025, leaving potential billing violations, fraud, waste and abuse harder to detect, according to a new…...
Why Insurance Talk Makes People Uncomfortable — And Why I Keep Having Those Conversations Anyway
6+ day, 21+ hour ago (854+ words) SOUTHERN MARYLAND — After more than 10 years in the insurance industry, one thing still surprises me: how quickly people tell me they already have coverage and do not need help. Sometimes all I have done is answer the question, “What do…...
Maryland Medicaid Audit Finds $338M In Nursing Facility Payments Lacked Required Reviews
1+ mon, 3+ week ago (864+ words) ANNAPOLIS, Md. — A new state audit found Maryland’s Medicaid office failed to correct repeated oversight problems, including missing nursing facility reviews, questionable payments for incarcerated or deceased recipients, delayed home-based care approvals and unexplained gaps between Medicaid and state accounting records....
Calvert Passes Plan To Lower Employee Healthcare Cost Share, Plus Subsidies For Retirees
2+ mon, 1+ week ago (183+ words) PRINCE FREDERICK, Md. — Employees and retirees for Calvert County will see a shift in health care premium cost sharing in the 2026-2027 fiscal year. The BOCC approved this measure as part of the meeting’s consent agenda by unanimous vote. In addition to…...
Support Staff In Calvert County Schools Claim 21% Increase In Healthcare Premium Costs Caused Financial Hardship
2+ mon, 3+ week ago (196+ words) PRINCE FREDERICK, Md. — Stacy Tayman, president of the Calvert Association of Education Support Staff, said the change to Calvert County health care premiums is “unprecedented” for the support staff of the district. Speaking during the public comment period during the April…...