New Law To Eliminate Deceptive MA Comparisons to Protect Vulnerable Seniors
Congressional bill aims to improve Medicare Advantage comparisons by using accurate data and transparent methods, ensuring fair Medicare policy for seniors and taxpayers.
Colorado Adjusts 2026 Individual Market Rates Amid New State Funding and Federal Subsidy Uncertainty
Colorado mandates insurers to revise 2026 individual market rates factoring in new state funding amid federal subsidy expiration risks, moderating premium hikes.
CMS Halts New Medicaid 1115 Waivers for Workforce Initiatives
CMS will not approve new Medicaid 1115 waivers for workforce initiatives, shifting federal support away from addressing provider shortages via these programs. This change affects state capacity to invest in Medicaid workforce development.
2024 Health Policy Updates: Medicaid, Medicare, Telehealth, and Administrative Reforms
An in-depth analysis of 2024 U.S. healthcare policy updates affecting Medicaid, Medicare payments, telehealth, and administrative reforms impacting medical groups and physicians.
Iowa Faces Rising ACA Premiums as Enhanced Tax Credits Near Expiration
Iowa insurance market braces for premium hikes as COVID-era ACA enhanced premium tax credits are set to expire in 2025, driving coverage affordability concerns and regulatory actions.
New Hampshire Law Accelerates Mental Health Provider Credentialing Timelines
New Hampshire's House Bill 507 shortens mental health provider credentialing to 30 days for private insurers, aiming to reduce care delays. Challenges in enforcement and insurer compliance remain.
Hospital ACO Participation Shows Limited Impact on Emergency Department Admissions and Costs
Study finds hospital involvement in Medicare ACOs does not significantly change emergency department admission rates, length of stay, or costs, suggesting current ACO models have limited impact on acute care spending.
Medicare Coverage Limits for Saxenda Highlight Challenges in Weight Loss Drug Access
Explore Medicare coverage limitations for Saxenda, a GLP-1 agonist approved for weight loss, and the implications for obesity drug access and insurance plan strategies.
Medicare Part D Premiums May Rise Up to $50 Monthly in 2025
Medicare Part D enrollees may face significant premium hikes up to $50 monthly in 2025 due to increased drug spending, policy changes, and reduced federal stabilization funding. Compare plans during open enrollment.
New York State Medicaid Loses $500M from Inadequate Medicare Enrollment Oversight
New York State's failure to enforce Medicare enrollment for eligible seniors costs Medicaid $500 million amidst federal funding cuts, raising concerns over state health spending and oversight.