Understand critical Medicare enrollment periods, penalties, and coverage options to inform insurance professionals and advisors guiding clients through retirement healthcare transitions.
The Patients Over Profits Act aims to prohibit ownership of both health plans and providers to curb vertical integration in Medicare-related markets, impacting major payviders like UnitedHealth Group and influencing U.S. healthcare market competition and regulatory enforcement.
Humana's stock sees an 18% decline over 12 months despite 7% revenue and 21% net income growth. Regulatory and operational challenges may impact future earnings.
Louisiana's Office of Group Benefits is transitioning pharmacy benefit management services from CVS Caremark to Liviniti and SilverScript for 2026 amid legal scrutiny and demand for PBM transparency.
A Massachusetts court awarded attorneys' fees to FCA defendants after finding relator engaged in fraudulent conduct by ordering unnecessary PCR tests to support whistleblower claims under the False Claims Act.
Patient Square Capital acquires Premier Inc. for $2.6 billion to enhance healthcare technology and supply chain services, reflecting a shift towards value-based care.
Key Medicare 2025 updates include potential Medigap cost increases and the importance of reviewing the Annual Notice of Change before the December 7 enrollment deadline. Learn about Medicare Advantage plans and state ACA compliance.
Empassion Health study reveals hospice and palliative care reduce healthcare costs by 35% in final year of life while improving care quality for seriously ill patients.
AAASWFL's SHINE Program offers free Medicare counseling for Southwest Florida beneficiaries during the 2025 Open Enrollment Period, facilitating informed insurance decisions and fraud awareness.
CVS Health's Aetna expands its Clinical Collaboration program to ten hospitals by 2025, targeting reductions in Medicare Advantage hospital readmissions and length of stay through embedded nursing care during discharge transitions.
