CMS Issues Transformative Final Rule for Medicare Programs Effective 2026
The CMS final rule effective 2026 will modernize Medicare Advantage and Part D, enhancing drug coverage and establishing more robust regulatory frameworks.
Regence BlueShield Discontinues Medicare Advantage Plans in Asotin County
Regence BlueShield pulls Medicare Advantage plans from Asotin County, impacting hundreds of beneficiaries seeking new coverage options and highlighting issues in healthcare access and costs.
Humana Launches $250M Fixed-Income Offering, Partners With Icon Health to Boost Senior Care
Humana's new $250M Fixed-Income Offering and partnership with Icon Health aim to enhance senior care and boost market performance, despite facing challenges in maintaining competitive growth and managing regulatory pressures.
CMS Finalizes 2026 Medicare Advantage and Part D Policies, Boosts Payments
CMS has finalized 2026 policies for Medicare Advantage and Part D, including significant payment increases and improved risk adjustment models, aimed at enhancing healthcare quality for U.S. seniors.
Navigating the 2024 Medicare Advantage Final Rule: Strategies for Success
Explore how the 2024 Medicare Advantage Final Rule impacts hospitals and the strategic adjustments necessary for compliance. Learn about the importance of the Two-Midnight Rule, enhanced provider-payer collaborations, and the role of technology in optimizing healthcare outcomes.
Medicare Advantage Plans See Rate Increase; Insurer Stocks Surge
Health insurer stocks rise as Medicare Advantage payment for 2026 is expected to increase by over 5%.
Rural Hospitals Face Closure Risk Due to Low Reimbursement Rates
The report highlights the risk of closure for rural hospitals due to low reimbursement rates, urging legislative changes to improve their financial stability.
Trends in Prior Authorization Among Medicare Advantage Plans
Explore the analysis of prior authorization trends in Medicare Advantage plans from 2009 to 2019, revealing significant insights into healthcare compliance and patient care.
60,000 Minnesota Seniors Face Network Changes as Providers Exit Humana
Major changes in Minnesota's health care network will impact 60,000 seniors as North Memorial and Avera Health exit the Humana Medicare Advantage plan. Learn more about the implications and what options may be available for beneficiaries.
Essence Healthcare Launches Medicare Advantage Plans in Chicago
Essence Healthcare expands to Chicago, offering Medicare Advantage plans focused on quality and access for beneficiaries. Explore patient-centered services starting this fall.