INSURASALES

Tag: Healthcare Finance

Vermont Blue Advantage Exits Medicare Advantage Market in 2026 Amid Financial Strains

Vermont Blue Advantage will discontinue Medicare Advantage plans in 2026, impacting 26,000 enrollees. HealthSpring assumes retiree plans amid market exits by UnitedHealthcare. State braces for enrollment shifts.

AI-Driven Automation Tackles Health Insurance Claims Denials

Explore how AI-powered automation addresses health insurance claims denials by improving coding accuracy and streamlining claims management in hospitals and health systems.

Evaluating Advanced Practice Providers as Solutions to Physician Shortages and Budget Challenges

Healthcare leaders are assessing if Advanced Practice Providers can solve physician shortages and budget pressures amid rising healthcare costs.

Medicare Advantage Growth Strains New Hampshire Rural Hospitals Financially

Rural hospitals in New Hampshire face growing financial losses due to increased Medicare Advantage enrollment, driven by lower reimbursements and administrative complexities, impacting patient care and hospital operations.

Massachusetts Faces Public Health Insurance Losses Amid Federal Budget Cuts

Federal budget cuts are reducing public health insurance in Massachusetts, affecting DACA recipients and low-income immigrants, with significant impacts on Medicaid and health safety net programs.

Medicare Physician Payments Drop Over 33% Since 2016, Threatening Access and Sustainability

Physician incomes from Medicare have fallen over 33% since 2016 due to stagnant reimbursements and increased costs, prompting health systems to reconsider Medicare Advantage participation. This shift threatens patient access and could reshape Medicare's physician landscape.

August 2025 EMS Financial Index Offers Key Benchmarks for EMS Agencies

The August 2025 EMS Financial Index from PWW Advisory Group delivers critical financial benchmarks and reimbursement trend analysis to support EMS agencies' revenue cycle management and financial stability amid changing regulations.

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.

Medicare Trustees Report 2025 Projects HI Trust Fund Depletion by 2033

The 2025 Medicare Trustees Report projects Hospital Insurance trust fund depletion by 2033, with increasing Medicare costs impacting beneficiaries and taxpayers. Explore implications for Medicare policy and finance.

CMS Proposes 6.4% Medicare Payment Cuts to Home Health Agencies for 2026

CMS proposes a 6.4% cut in 2026 Medicare payments to home health agencies, driven by PDGM budget neutrality adjustments and expanding Medicare Advantage enrollment. HHAs must assess financial impacts, advocate, and optimize operations.