SUMMARY: Donald Hammen, 80, relies on his neighbor Julie McMahon for support as he lives alone in Minneapolis. With no close family, he has formed connections with friends, former colleagues, and fellow volunteers, who help him navigate daily challenges. However, he remains uncertain about future care if his health declines. Many older adults like Hammen, lacking close family ties, face similar dilemmas. AARP research shows that only a quarter of solo agers can count on someone for help with basic tasks. Building local support networks is essential, yet many find it challenging to establish reliable connections for assistance in their later years.

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SUMMARY: A new federal audit from the Health and Human Services Inspector General highlights concerns over $7.5 billion in Medicare Advantage overpayments linked to home visits that yielded no medical treatment in 2023. Despite these findings, the Centers for Medicare & Medicaid Services (CMS) declined to limit payments for such visits, arguing they enhance in-home care access. The audit suggests UnitedHealthcare accounted for a significant portion of contested payments, highlighting inefficacies in treating diagnosed conditions. Critics argue CMS needs stronger oversight to prevent potential waste of taxpayer dollars and enforce accurate diagnosis reporting.

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SUMMARY: South Dakota is grappling with a severe syphilis outbreak, particularly affecting Native American communities, with rates increasing by 1,865% from 2020 to 2022. Public health officials, led by Natalie Holt, are mounting an urgent testing campaign, but are hindered by limited resources since no federal public health emergency has been declared. This year, 75% of the 577 reported cases are among Native Americans, who represent only 9% of the population. Tribal leaders are advocating for more federal support, as they believe enhanced resources are essential to combat the outbreak and prevent further health crises.

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