Community Paramedics Reduce Hospital Readmissions Under Medicare Penalties
Community paramedics and post-discharge monitoring reduce hospital readmissions and Medicare penalties, improving patient outcomes and cost efficiency in Minnesota hospitals.
Judge Upholds CMS Medicare Advantage Ratings, Humana Faces Billions in Losses
A federal judge upheld CMS Medicare Advantage star ratings, resulting in a downgrade for Humana that risks billions in government bonus payments. The ruling affects nearly half of Humana's Medicare Advantage members and has broad implications for the insurer and Medicare market.
Gulf South States Rank Lowest in 2025 Medicare Scorecard for Access and Quality
The 2025 Commonwealth Fund Medicare Scorecard ranks Gulf South states lowest nationally due to challenges in access, quality, costs, and population health for older adults and disabled Medicare beneficiaries.
CMS Narrows Medicare Payment Delays Amid Federal Shutdown, Impacting Telehealth
CMS limits Medicare payment delays to specific services amid federal shutdown, focusing on telehealth funding lapses and advising providers on claims submissions and patient billing options.
Medicare State Scorecard Reveals U.S. Disparities in Access and Quality
Commonwealth Fund's Medicare State Scorecard highlights significant disparities in access, affordability, and quality of Medicare care across U.S. states, with Connecticut ranked 12th but 31st in quality metrics.
Wellcare Expands Medicare Advantage, Transitions Dual-Eligible Plans in 2026
Wellcare expands Medicare Advantage plans to 51 million beneficiaries in 32 states and transitions dual-eligible members to integrated D-SNPs in 2026, reflecting industry shifts in Medicare-Medicaid integration and care coordination.
Medicare Part B Premiums Rise in 2026; Part D Drug Costs Slightly Decline
Medicare Part B premiums are set to rise significantly in 2026 amid medical inflation, while Part D prescription drug costs slightly decline nationally. Enrollment opens October 15 for plan changes including Medicare Advantage and Medigap options.
Judge Denies Humana's Challenge to CMS 2025 Medicare Advantage Ratings
A U.S. court rejected Humana's attempt to contest the CMS 2025 Medicare Advantage ratings, affecting Humana's bonus payments and highlighting CMS's regulatory role.
Original Medicare vs Medicare Advantage: Key Differences for 2025
Explore key distinctions between Original Medicare and Medicare Advantage plans for 2025, including coverage, costs, provider choice, and supplemental benefits to guide Medicare enrollment decisions.
Medicare Coverage Challenges Amid Inflation and Regulatory Changes
Explore the impact of inflation and regulatory changes on Medicare coverage, including rising premiums, Medigap cost increases, and the critical December 7 enrollment deadline for beneficiaries.