INSURASALES

CMS GUIDE Program Enhances Palliative Care for Dementia Patients

CMS GUIDE program integrates palliative care to improve support and care coordination for dementia patients and caregivers under Medicare Part B, addressing challenges in symptom management and caregiver respite.

Elevance and Major Insurers Adjust Medicare Advantage Strategies Amid Cost Pressures

Elevance Health and leading insurers recalibrate Medicare Advantage plans and Part D coverage amid rising costs and regulatory shifts, focusing on risk management and compliance.

Healthcare Giants Avoid $34 Billion in Taxes Post-2017 Tax Law, Patient Care Impacted

Seven major U.S. healthcare corporations avoided $34 billion in taxes after the 2017 tax law while increasing profits and insurance claim denials, with implications for patient care quality and regulatory scrutiny.

Relation Insurance Services Expands Footprint with Strategic Acquisitions

Relation Insurance Services acquires two independent insurance firms to expand commercial, employee benefits, and Medicare-related offerings amid industry consolidation.

CMS Proposes 2026 Medicare Physician Fee Schedule Changes for Telehealth

The CMS 2026 proposed physician fee schedule includes updates to Medicare telehealth reimbursement, frequency limits, and supervision rules, aiming to codify pandemic-era telehealth flexibilities.

September 2025 U.S. Healthcare and Insurance Regulatory Outlook

Key September 2025 updates on U.S. healthcare funding, CDC leadership changes, AI in healthcare, Medicare and Medicaid policies, and COVID-19 vaccine authorization shifts impacting insurers and providers.

Congress Faces Tight Deadline for FY 2026 Funding Amid Partisan Challenges

Congress returns to negotiate FY 2026 government funding with a deadline on Sept 30, facing bipartisan challenges and potential shutdown.

HHS OIG Identifies Errors in NGS Medicare Cost Report Desk Reviews

HHS OIG finds widespread errors in Medicare cost report desk reviews by NGS and recommends enhanced reviewer training and procedures to improve audit accuracy and compliance.

TeamHealth’s TeamACO Cuts Medicare Post-Acute Costs by $15.8M in 2024

TeamHealth’s TeamACO reduces Medicare post-acute care costs by $15.8M in 2024 through readmission reductions and value-based care strategies across 33 states.

CMS Delays Medicare Advantage Supplemental Benefit Reminder Rule Until 2026

CMS delays the Medicare Advantage rule requiring midyear reminders about unused supplemental benefits to 2026, addressing insurers' readiness and data tracking challenges.