Tag: Medicare

Trump Administration's H-1B Visa Fee Impact on Healthcare Workforce and Hospital Trends

The Trump administration's $100,000 H-1B visa fee poses challenges for the healthcare workforce, especially in rural areas, amid hospital closures, regulatory penalties, and healthcare market shifts.

Key Medicare Enrollment Deadlines and Penalties for Insurance Professionals

Understand critical Medicare enrollment periods, penalties, and coverage options to inform insurance professionals and advisors guiding clients through retirement healthcare transitions.

Patients Over Profits Act Targets Vertical Integration in U.S. Healthcare Market

The Patients Over Profits Act aims to prohibit ownership of both health plans and providers to curb vertical integration in Medicare-related markets, impacting major payviders like UnitedHealth Group and influencing U.S. healthcare market competition and regulatory enforcement.

Louisiana Shifts Pharmacy Benefit Management Away from CVS Caremark for 2026

Louisiana's Office of Group Benefits is transitioning pharmacy benefit management services from CVS Caremark to Liviniti and SilverScript for 2026 amid legal scrutiny and demand for PBM transparency.

Medicare Annual Notice of Change Highlights 2025 Coverage and Cost Updates

Key Medicare 2025 updates include potential Medigap cost increases and the importance of reviewing the Annual Notice of Change before the December 7 enrollment deadline. Learn about Medicare Advantage plans and state ACA compliance.

Study Finds Hospice and Palliative Care Reduce Costs and Improve Outcomes

Empassion Health study reveals hospice and palliative care reduce healthcare costs by 35% in final year of life while improving care quality for seriously ill patients.

Southwest Florida's SHINE Program Supports Medicare Beneficiaries During 2025 Open Enrollment

AAASWFL's SHINE Program offers free Medicare counseling for Southwest Florida beneficiaries during the 2025 Open Enrollment Period, facilitating informed insurance decisions and fraud awareness.

CVS Health Expands Nurse-Led Program to Cut Medicare Readmissions

CVS Health's Aetna expands nurse-led program to reduce hospital readmissions among Medicare Advantage members, aligning with CMS readmission penalties effective 2027. Program enhances care coordination and post-discharge support in key U.S. hospitals.

Medicare Fee Schedule Changes Signal Reimbursement Cuts for Many Physicians

Medicare's updated physician fee schedule includes efficiency adjustments and recalculations that will reduce payments for many doctors, impacting physician income and patient access. Workforce shortages and policy adjustments underscore significant challenges in Medicare reimbursement.

Susan McGeehan Advances Medicaid Managed Care and LTSS Innovation in Aging

Susan McGeehan received the W. Fred Cottrell Alumni Award for leadership in Medicaid managed care, LTSS, and integrated aging services, shaping policy and practice in long-term care.