The AHA's Q2 2025 Health Care Plan Accountability Update details key regulatory and legislative changes affecting Medicare Advantage and private health insurer compliance, essential for insurance professionals.
Analysis of budget reconciliation effects on Medicaid, individual market coverage, and Medicare, highlighting health plans' response to potential coverage losses and the importance of health care tax credits.
Explore effective strategies to prevent Medicare fraud and reduce the estimated $60 billion in annual losses caused by fraud, errors, and abuse. Learn how beneficiaries and caregivers can safeguard against scams.
Texas recently expanded Medigap coverage options for Medicare beneficiaries under 65 with end-stage kidney disease, improving insurance access and affordability. NKF advocacy played a key role in this policy change.
CMS alerts 103,000 Medicare beneficiaries of a recent scam involving fraudulent Medicare.gov account creations, exposing sensitive personal and healthcare data. Learn about CMS's cybersecurity response and prevention measures.
Survey by Civitas Networks for Health shows Medicare Quality Improvement Organizations generated $4.7B savings and highlights recommendations for program enhancements focusing on data interoperability, onsite training, and workforce retention.
A federal court has blocked key staffing requirements in the 2024 CMS rule for long-term care facilities, creating regulatory uncertainty amid ongoing litigation and legislative attempts to pause implementation until 2034.
Humana Healthy Horizons now offers Medicaid managed care coverage to Virginia Cardinal Care beneficiaries, enhancing integrated health services and behavioral health support.
Wyoming adopts a Medicare birthday rule allowing seniors to switch Medicare Supplement plans annually without denial, boosting competition and affordability in the Medigap market.
CMS launches a six-year pilot requiring pre-authorizations for 17 medical services in traditional Medicare across six states, aiming to control costs and reduce service overuse.
