Tag: Medicare

CMS Launches ACCESS Model to Advance Technology-Enabled Chronic Care in Medicare

CMS introduces the ACCESS Model, a voluntary Medicare initiative that promotes technology-enabled chronic care solutions to improve patient outcomes and modernize Medicare treatment frameworks.

Medicare Advantage Market Faces Enrollment Declines and Regulatory Shifts Amid Profit Pressures

Medicare Advantage plans face enrollment decline in 2026 as insurers reduce benefits and brokers lose commissions; CMS proposes star rating changes boosting insurer profits while reversing equity measures.

Rising Healthcare Costs Impact Insured Americans' Care and Retirement Plans

Study reveals rising healthcare costs lead insured Americans to delay care and impact retirement planning, highlighting the need for financial guidance on medical expenses and Medicare.

Texas Agency Expands Personalized Consultations for Medicare Supplement Plans

Smart Medigap Plans in Texas expands personalized Medicare supplement consultations to help seniors navigate complex coverage options and regulatory requirements, optimizing their health plans and costs.

Bipartisan Bill Expands Medicare ACO Access to Nurse Practitioners and PAs

The ACO Assignment Improvement Act enhances Medicare's Accountable Care Organizations by including nurse practitioners, physician assistants, and clinical nurse specialists in patient assignment, expanding coordinated care access.

CMS Proposes Major Reforms to Medicare Advantage and Part D for 2027

CMS unveils significant Medicare Advantage and Part D changes for 2027, including Star Ratings overhaul and increased quality bonus payments, impacting Medicare spending by $14B.

Medicare-X Choice Act Reintroduced to Establish Public Health Insurance Option

The Medicare-X Choice Act reintroduced to create a public health insurance option, aiming to expand coverage, reduce costs, and increase competition amid Medicaid cuts and ACA tax credit expirations.

Pennsylvania Medicare Open Enrollment Ends Dec 7 with Expanded Plan Options

Pennsylvania's Medicare open enrollment deadline is Dec. 7, 2025, with 334 Medicare Advantage plans and low premiums available. Learn about coverage options, deadlines, and assistance programs for seniors.

CMS Finalizes 2026 Payment Updates and Policy Changes for OPPS and ASCs

CMS announces 2026 updates for OPPS and ASC payment systems, including expanded site neutral payments, skin substitute product unbundling, IPO list phase-out, and new hospital price transparency requirements.

CMS Medicare Drug Price Negotiations Yield $12B Savings on 15 High-Cost Medications

CMS announces $12 billion savings from Medicare drug price negotiations on 15 high-cost medications, effective 2027, enhancing Medicare Part D sustainability.