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.
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.
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.
The Medicare LI NET program provides temporary prescription drug coverage without restrictions to low income beneficiaries not yet enrolled in a Part D plan, ensuring seamless access during the transition period.
Rodney Powell, aka the Medicare Video Guy, earns top Medicare agent ranking in Texas for 2025, recognized for personalized Medicare Supplement, Advantage, and drug coverage guidance.
The 2024 Michigan Health Market Review details Medicaid enrollment declines, growth in Medicare Advantage and individual plans, and hospital system consolidation impacting payer and provider finances.
Senators introduce bipartisan bill targeting Medicare Advantage overpayments by refining risk adjustment and supporting CMS audits to enhance program integrity and save Medicare billions.
Anthem Blue Cross and Blue Shield in Ohio and OhioHealth finalize a multi-year network participation agreement ensuring uninterrupted access for members across all plan types, emphasizing value-based care metrics.
A detailed analysis of the 2025 Medicare Trustees Report outlines financial projections and key cost drivers including Medicare Advantage's impact and reimbursement challenges.
HCA Florida Kendall Hospital in Miami performed its first robot-assisted transforaminal lumbar interbody fusion led by neurosurgeon Michael Fromke, utilizing new robotic technology to enhance spinal surgery precision and outcomes.
