CF Patients Face Critical Medicare Coverage Gap During SSDI Waiting Period

Cystic fibrosis patients encounter a costly two-year Medicare waiting period after SSDI approval, leading to critical coverage gaps and financial strain. Advocacy efforts focus on policy changes to include CF in Medicare exceptions for better healthcare access.

SMBC365 Launches RCM Initiative to Address Proposed 7% Medicare Reimbursement Cut

SMBC365 unveils a Revenue Cycle Management initiative designed to help medical providers counteract the proposed 7% cut in CMS Medicare reimbursements, focusing on billing and revenue optimization.

Two-Sided Risk Models Drive Success for Medicare Shared Savings ACOs

ACOs in the Medicare Shared Savings Program taking on two-sided risk show higher savings and quality outcomes, highlighting a shift in value-based care strategies.

CMS Launches ACCESS Model to Pay Medicare for Digital Health Outcomes

The CMS ACCESS Model, starting in 2026, will shift Medicare payments from service volume to health outcomes, advancing digital health in chronic disease management.

GOP Health Care Focus Shifts to Affordability Amid Voter Realignment

Analysis of the Republican Party's evolving focus on health care affordability and voter demographic shifts affecting U.S. health insurance policy and market dynamics.

Senator Cassidy Challenges AMA Over CPT Coding Control and Licensing Fees

Senator Bill Cassidy demands transparency from AMA over CPT coding system royalties and licensing fees amidst CMS payment cuts, raising concerns on healthcare reimbursement and costs.

Telehealth Use Nearly Tripled Since Pre-Pandemic, Varies Widely by Specialty

Telehealth use among U.S. physicians has nearly tripled since pre-COVID-19, with psychiatrists leading utilization. AMA data highlights regulatory and specialty-specific trends affecting telehealth adoption.

GAO Reports ACA Tax Credit Fraud; Medicare Drug Costs, Debt Risks Rise

Recent GAO report reveals ACA Premium Tax Credit fraud. Rising Medicare Part D costs, Social Security debt risks, bond market stability concerns, and congressional stock trading scrutiny highlight U.S. insurance and fiscal challenges.

Medicare Part A Hospital Costs Rise in 2026: Implications for Seniors and Medigap Coverage

Medicare Part A hospital stay costs are increasing in 2026, with higher deductibles and coinsurance rates impacting seniors. Medigap can help cover these rising expenses, highlighting the importance of timely supplemental coverage enrollment.

Nassau University Medical Center Faces Financial Strain Serving High Medicaid Population

Nassau University Medical Center serves the highest percentage of Medicaid patients on Long Island, facing financial challenges due to low public insurance reimbursements and a high volume of psychiatric and emergency care cases.