Aetna Updates Medicare Advantage Inpatient Reimbursement Policy Effective Nov 15
Aetna implements a new inpatient reimbursement policy for Medicare Advantage plans to streamline payments and align with CMS two-midnight rule, effective Nov 15, 2023.
Medicare Plans Stable as Medicaid Faces Changes - Benefits Review Encouraged
Medicare remains stable amid upcoming Medicaid changes in 2026. Review benefits and prepare for Medicare Advantage Open Enrollment, Oct 15–Dec 7. Expert tips on plan adjustments and coverage details.
Medicare's 190-Day Psychiatric Inpatient Limit Faces Legislative Challenge
Explore how Medicare's 190-day inpatient psychiatric limit affects mental health care access and ongoing legislative efforts to eliminate this cap for improved treatment equity.
Comprehensive Guide to Senior Discounts: Resources and Eligibility Ages
Discover essential resources and eligibility ages for senior discounts across dining, retail, travel, and entertainment sectors. Learn how U.S. seniors can maximize savings effectively.
Overview of STAT's Health Policy Coverage and Subscription Services
A summary of STAT's health policy news coverage and subscription-based access, highlighting vaccine skepticism and Medicare's 60th anniversary within U.S. healthcare context.
Congressional Opposition Mounts Against CMS Medicare Prior Authorization Expansion
Congresswoman Maggie Goodlander and colleagues urge CMS to halt the proposed expansion of prior authorization in Traditional Medicare, citing risks to patient care and administrative burdens.
2026 Medicare Part D Updates: Premium Increases, Penalties, and Cost Caps
Explore the 2026 Medicare Part D updates including premium increases, delayed enrollment penalties, and maximum out-of-pocket caps for prescription drugs, with insights into Medicare Advantage plan impacts.
CMS Proposes Voluntary Medicaid and Medicare GLP-1 Coverage Trial
CMS plans a voluntary five-year trial allowing state Medicaid and Medicare Part D plans to cover GLP-1 weight management drugs, including Ozempic and Wegovy, starting in 2026-27 amid pricing and coverage challenges.
Medicaid Coverage for Nursing Home Care: Eligibility, Risks, and Financial Pressures
Explore Medicaid's role in funding nursing home care, eligibility requirements, risks of coverage loss, and financial pressures facing providers and states amid a rising senior population.
Understanding the Medicare Cliff: Transitioning from Medicaid at 65
Explore the Medicare cliff phenomenon where older adults lose Medicaid coverage at 65, leading to increased Medicare costs and coverage changes. Understand eligibility, cost differences, and programs to ease the transition.