Medicare Advantage Increases Government Costs, Not Saves Them, Reports Show
Medicare Advantage programs increase government spending by $84 billion annually due to payment structures and upcoding, impacting Medicare's fiscal sustainability.
Spine Surgeons Navigate Federal Policy Changes Impacting Practice Viability
Spine surgeons adapt to evolving federal healthcare policies including Medicare reimbursement cuts and the CMS TEAM Model, affecting practice operations and care delivery.
Genetic Testing Fraud Settlement: $6M Paid to Resolve Medicare False Claims
Genexe, LLC and others pay $6 million to resolve allegations of Medicare fraud involving medically unnecessary genetic tests and kickbacks. Enforcement in healthcare compliance continues.
Pennsylvania Groups Partner to Advocate for Increased Nursing Home Funding
Pennsylvania Health Care Association and SEIU Healthcare PA collaborate to advocate for increased Medicaid and Medicare nursing home funding, addressing reimbursement and staffing challenges in long-term care facilities.
Public Citizen Advocates Medicare for All Amid U.S. Health Care System Challenges
Public Citizen highlights systemic challenges in the U.S. health care system and advocates Medicare for All as a comprehensive solution to improve access, reduce costs, and end profit-driven care.
Iowa Faces Medicaid Cuts and Legislative Changes Amid Weather and Healthcare Compliance Issues
Explore how proposed Medicaid cuts and new legislative measures in Iowa impact healthcare, insurance claims, and regulatory compliance amid recent severe weather events.
CMS Proposes Nutrition-Focused Quality Measures for Skilled Nursing Facilities
CMS proposes new quality measures emphasizing nutritional health in skilled nursing facilities, highlighting the role of rehab therapies in improving resident outcomes and care quality.
Retirement Confidence High Amid Social Security, Medicare Concerns
Most U.S. workers and retirees remain confident about retirement savings, but concerns grow over potential Social Security and Medicare benefit cuts and rising healthcare and inflation costs.
Study Finds Medicare Advantage Patients Face Longer, Costlier Radiotherapy Than Traditional Medicare
New Harvard study compares radiotherapy utilization and spending between Medicare Advantage and Traditional Medicare, highlighting longer treatment durations and higher costs for MA patients.
Medicare Enrollment Periods and Penalties: What Insurers Need to Know
Understand Medicare enrollment periods and penalties with insights on timely Medicare Part B registration, COBRA implications, and penalty costs for insurance professionals.