Medicare reimbursement for physician GI procedures fell over 22% (2018-2023), while facility payments to ASCs and HOPDs increased, impacting healthcare economics and physician practice structures.
The Treat and Reduce Obesity Act introduces expanded Medicare coverage for obesity screenings, specialists, and medications, aiming to reduce obesity-related diseases and healthcare costs among seniors.
H.R. 3467 proposes automatic enrollment into low-premium Medicare Advantage plans with a three-year lock-in, raising concerns about beneficiary choice, network limitations, and coverage variability.
The One Big Beautiful Bill Act revises Medicaid, ACA subsidies, SALT deductions, and senior tax benefits, impacting US insurance coverage and early retirement strategies. Explore key insurance and tax planning implications of OBBBA for financial independence.
The 2025 reconciliation bill introduces substantial Medicaid funding cuts and changes to ACA enrollment, with significant implications for healthcare access and provider reimbursement across the U.S.
Proposed Medicaid work requirements under congressional review pose risks of coverage loss for millions, especially caregivers dependent on flexible Medicaid policies. Historical and administrative challenges highlight potential disenrollment risks.
Survey by Civitas Networks for Health shows Medicare Quality Improvement Organizations generated $4.7B savings and highlights recommendations for program enhancements focusing on data interoperability, onsite training, and workforce retention.
Wyoming adopts a Medicare birthday rule allowing seniors to switch Medicare Supplement plans annually without denial, boosting competition and affordability in the Medigap market.
CMS launches a six-year pilot requiring pre-authorizations for 17 medical services in traditional Medicare across six states, aiming to control costs and reduce service overuse.
The Senate pushes forward a large tax cut and spending bill with significant Medicaid cuts and a projected $3.3 trillion debt increase over 10 years, amid internal GOP opposition and policy debates.
