Medicare 2025 Trustees Report: Financial Outlook and Cost Drivers
A detailed analysis of the 2025 Medicare Trustees Report outlines financial projections and key cost drivers including Medicare Advantage's impact and reimbursement challenges.
Rural Health Fund Faces Distribution Challenges Amid Hospital Classification Issues
States to apply September for $50B Rural Health Fund amid Medicare cuts; concerns over urban hospitals dual-classified as rural impacting fund allocation.
CMS Price-Substitution Policy Saves $76M on Medicare Drugs Since 2013
CMS's price-substitution policy has saved $76 million for Medicare by correcting drug pricing identified by the Office of Inspector General, improving cost efficiency while maintaining access.
Medicare Weight Loss Drug Coverage: Legislative and Regulatory Paths
Medicare faces evolving opportunities and challenges in covering weight loss drugs through legislation like the Treat and Reduce Obesity Act and federal demonstration projects. Drug adherence and cost-effectiveness remain key issues.
Impact of Potential USPSTF Overhaul on U.S. Preventive Care Guidance
Explore the implications of proposed changes to the U.S. Preventive Services Task Force and its impact on preventive care guidelines and insurance coverage in the U.S.
CMS Proposes 2026 Medicare Telehealth Enhancements Including Behavioral Health and Remote Monitoring
CMS's 2026 Physician Fee Schedule proposal advances Medicare telehealth with expanded behavioral health codes, remote monitoring updates, and virtual Diabetes Prevention Program delivery, shaping long-term digital care integration.
Key Medicare Part A Criteria for Skilled Nursing Facility Coverage Explained
Understand the Medicare Part A requirements for skilled nursing facility coverage, including qualifying hospital stays, coverage limits, and copay costs essential for healthcare professionals and insurers.
OBBBA Caps State-Directed Payments in Medicaid Managed Care, Reshaping Value-Based Payment Programs
The One Big Beautiful Bill Act (OBBBA) establishes statutory caps on state-directed payments in Medicaid managed care, centralizing federal control and impacting value-based payment reforms. CMS expected to issue guidance on implementation.
Key Updates to Health Savings Account Rules Impacting HDHPs and ACA Plans
Explore recent legislative updates expanding Health Savings Account eligibility, telehealth coverage pre-deductible, and treatment of direct primary care plans with significant budgetary impacts through 2034.
Georgia Faces Health Insurance Premium Increases and Nursing Home Closures Amid Federal Budget Cuts
Georgia faces significant health insurance premium hikes and nursing home closures due to recent federal budget cuts, raising concerns over Medicaid funding and healthcare access in the state.