INSURASALES

Medicare Fee Schedule Changes Signal Reimbursement Cuts for Many Physicians

Medicare's updated physician fee schedule includes efficiency adjustments and recalculations that will reduce payments for many doctors, impacting physician income and patient access. Workforce shortages and policy adjustments underscore significant challenges in Medicare reimbursement.

Susan McGeehan Advances Medicaid Managed Care and LTSS Innovation in Aging

Susan McGeehan received the W. Fred Cottrell Alumni Award for leadership in Medicaid managed care, LTSS, and integrated aging services, shaping policy and practice in long-term care.

Medicare Fraud, Organ Recovery Oversight, and Youth Fitness Legislation Shape U.S. Healthcare Policy

Recent U.S. healthcare updates cover a $34.8M Medicare fraud case, HHS action on organ recovery agency safety, youth fitness legislation, and ACIP's hepatitis B vaccine deliberations.

Couple Faces Sentencing for $600M Medicare Healthcare Fraud Scheme

Alexandra Gehrke faces sentencing for a $600 million Medicare healthcare fraud scheme targeting elderly patients, highlighting regulatory and compliance challenges in healthcare billing and Medicare oversight.

Q2 Earnings Review: Health Insurers Show Varied Growth Amid Regulatory and Economic Challenges

Examination of Q2 earnings for U.S. health insurers reveals growth trends, regulatory challenges, and economic factors shaping market performance in 2024.

Medicare Faces AI-Driven Prior Authorization Pilot Amid Budget Cuts

Medicare to pilot AI-driven preauthorization program in six states as federal budget cuts threaten program funding and patient access.

New Legislation Targets Insurance Industry Consolidation in Healthcare

New US legislation aims to prevent insurance companies from acquiring independent health clinics, addressing rising healthcare costs and market consolidation.

Mintz IRA Update Q3 2025 Analyzes Inflation Reduction Act Impact on Pharma

Stay informed on the latest Q3 2025 developments in the Inflation Reduction Act's impact on pharmaceutical supply chains, Medicare negotiation programs, and drug pricing reforms with the Mintz IRA Update.

CMS Terminates Medicare Agreement with Magnolia Ridge Over Compliance Failures

CMS ends Medicare provider agreement with Magnolia Ridge in Alabama due to failure to meet health and safety standards, leading to termination of Medicare payments for new admissions and impending facility closure.

Dining Out For Life Supports HIV Healthcare and Addresses Insurance Gaps

Dining Out For Life fundraiser supports Milwaukee's Vivent Health in covering HIV medication costs and addressing insurance coverage gaps through community dining events.