AdvaMed Highlights Access Concerns in CMS 2026 Home Health Payment Rule
AdvaMed responds to CMS 2026 payment rule, stressing patient access to diabetes and prosthetic supplies amid competitive bidding concerns.
Key Considerations for Choosing Medicare Advantage Plans During 2026 Enrollment
With Medicare Advantage open enrollment closing soon, learn crucial factors in choosing 2026 plans including provider access, benefits, costs, and Medicare star ratings to optimize coverage decisions.
Maximizing Medicare Vision Benefits: Coverage, Savings, and Eye Health Insights
Learn how to maximize your Medicare plan's vision benefits, including annual eye exams, vision allowances, and affordable stand-alone coverage options like VSP.
OIG Uncovers Major PDPM Billing Noncompliance in Skilled Nursing Audit
The OIG's audit reveals significant noncompliance with PDPM billing in skilled nursing facilities, prompting potential repayments exceeding $31 million and signaling broader risks for Medicare reimbursement compliance.
UNC Health-Cigna Contract Dispute Threatens In-Network Coverage for Thousands
The unresolved contract dispute between UNC Health and Cigna risks out-of-network status for thousands of patients, reflecting broader insurer-provider negotiation challenges in North Carolina's healthcare market.
Pharma Firms Slash Medicare Drug Prices in Trump Administration Deal
Pharmaceutical companies agree to significant Medicare drug price cuts under Trump administration, projecting billions in savings with impacts on Medicare Part D and drug affordability.
Medicare Advantage Contract Disputes Intensify Amid Cost Pressures
Rising cost pressures and demographic shifts fuel intensified disputes between payers and providers over Medicare Advantage contracts, impacting reimbursement and network participation.
MultiCare to Exclude Certain Medicare Advantage PPO Plans in 2026
Starting in 2026, MultiCare will no longer accept certain Medicare Advantage PPO plans, impacting access for some seniors. The shift focuses on HMO plans for better care coordination during Medicare open enrollment.
Texas Shifts Dual Eligible Integration to Integrated D-SNP Model in 2026
Texas HHSC to transition from Dual Demonstration Program to Integrated Dual-Eligible Special Needs Plan (D-SNP) model in 2026, enhancing Medicare and Medicaid integration for dual eligibles in STAR+PLUS.
Geisinger Health Plan Named 2026 Best Medicare Advantage Insurer in Pennsylvania
Geisinger Health Plan earns 2026 Best Insurance Company for Medicare Advantage in Pennsylvania, recognized for high-quality coverage and member services based on CMS quality measures.