INSURASALES

Tag: Healthcare Finance

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.

Agilon Health Q2 2025 Earnings: Revenue Decline and Leadership Shift Amid Market Challenges

Agilon Health reports Q2 2025 results with $1.4B revenue, leadership changes, and suspends 2025 guidance amid Medicare Advantage market challenges and strategic operational shifts.

Medicare 2026 Rate Increases, Hospital Efficiency Push, and AI Advances in Healthcare

Explore the 2026 Medicare payment updates for hospice, rehab, and psychiatric care, hospital efficiency initiatives amid rising costs, and growing use of agentic AI in healthcare settings.

Aetna's New Medicare Advantage Policy Alters Two-Midnight Rule Payment Approach

Effective November 2025, Aetna changes Medicare Advantage inpatient admission payments under the Two-Midnight Rule, impacting hospital reimbursements and billing practices.