INSURASALES

Tag: Medicare

Impact of 2025 Federal Legislation on Medicare and Medicaid Coverage

Explore the implications of the 2025 One Big Beautiful Bill Act on Medicare and Medicaid programs, focusing on coverage changes, eligibility hurdles, and the impact on rural hospitals and long-term care.

Key Retirement Planning Insights: Crypto Allocation, Target Date Funds, and Medicare Premiums

Explore expert insights on retirement planning with crypto allocations, target date fund strategies, and managing rising Medicare Part B premiums for optimal retirement outcomes.

Medicare’s Post-Surgical Payment Reform Hinges on Telehealth Physical Therapy Coverage

Medicare is reforming post-surgical payments to hold hospitals accountable for 30-day post-discharge costs. The sustainability of this model depends on permanent Medicare coverage for telehealth physical therapy, a cost-effective and patient-preferred rehabilitation method. Congressional action is critical to extend tele-PT benefits.

CMS Launches WISeR Model to Cut Overuse in Medicare with AI-Driven Prior Authorization

CMS introduces the WISeR Model pilot program leveraging AI-driven prior authorization to reduce Medicare overuse and fraud in six states from 2026-2031.

2025 Medicare Drug Plan Caps Lower Out-of-Pocket Costs Under Inflation Reduction Act

Starting in 2025, Medicare prescription drug plans will have a new $2,000 out-of-pocket cap under the Inflation Reduction Act, eliminating the donut hole and lowering costs for beneficiaries. This applies to both Part D and Medicare Advantage plans with drug coverage.

Congressional Doctors Advocate Medicare, PBM Reforms to Curb Fraud and Costs

House GOP doctors outline reforms targeting Medicare fraud, PBM-driven drug costs, and graduate medical education funding to address Medicare insolvency and healthcare cost inflation.

Iowa Medicaid and Medicare Savings Programs Aid Low-Income Beneficiaries

Explore how Iowa's Medicaid and Medicare Savings Programs provide critical financial assistance for low-income Medicare beneficiaries, covering premiums, deductibles, and prescription drug costs.

Venus Williams' Returns To Tennis For The Health Insurance Coverage

Venus Williams' return to tennis draws attention to the high costs of COBRA health insurance and broader U.S. challenges with medical debt and health care affordability.

UnitedHealth Group Faces DOJ Probes Over Medicare Billing and Coding Practices

UnitedHealth Group confirms DOJ investigations into Medicare billing and diagnosis code practices, impacting regulatory compliance and Medicare program integrity.

CMS Proposes 2026 Medicare Payment Updates Expanding Digital Health and Telehealth Flexibility

CMS proposed 2026 Medicare payment rules expand digital health reimbursements, telehealth supervision flexibility, and update the Medicare Telehealth Services List.