CMS's 2027 proposed rule outlines key Medicare Advantage and Part D program updates, codifying Inflation Reduction Act changes, adjusting Star Ratings, and modernizing marketing and risk adjustment frameworks.
Medicare open enrollment ends soon; JABA offers free counseling to help beneficiaries review and select their 2025 Part D prescription drug plans. Nearly 3,000 people saved $4.4M on prescription costs.
Explore key strategies and programs to reduce Medicare Part D prescription medication costs in 2026, including Extra Help, state assistance, generic options, and payment plans.
New York lawmakers request health department review of Optum's network exclusions and clinic closures amid Medicaid and Medicare changes affecting healthcare access.
OIG report identifies Medicare overpayments for continuous glucose monitors and urges CMS to reduce payment rates, highlighting potential savings.
A recent OIG audit identifies $4.7 million in Medicare overpayments to optometrists for nursing home services due to insufficient CMS review processes and billing controls. The report urges enhanced oversight and provider training to prevent future improper payments.
Iowa Insurance Division warns Medicare beneficiaries of fraudulent calls requesting Social Security numbers, emphasizing legitimate plans do not require this for premium withholdings.
HHS introduces the ACCESS pilot to reimburse wearable tech and telehealth providers under Medicare for improving chronic care outcomes in seniors. New payment models aim to boost innovation in digital health.
The Iowa Insurance Division warns Medicare beneficiaries about scam calls requesting Social Security numbers, clarifying premium withholding procedures and highlighting Safe Haven Act infant placement updates.
Rising Medicare Advantage costs and marketing-driven enrollment cycles challenge Medicare program sustainability and beneficiary care quality. Policy reforms target overpayment and plan standardization.
