Tag: Medicare

Medicare AI Claims Review Pilot Launches in Six States, Raising Provider Concerns

A new Medicare pilot program using AI for claims review will launch in six states, including Arizona, sparking provider concerns over care denials and increased administrative processes.

Medicare Advantage Plan Cancellations Spur Local Forums in Carroll County, NH

Local Medicare forums in Carroll County, NH address widespread Medicare Advantage plan cancellations. Insurance agent-led discussions help seniors navigate transitions and compliance.

Medicare Home Health Reimbursement Cuts Reduced to $220M for Next Year

CMS cuts Medicare home health reimbursement by $220M in 2025, less than the proposed $1B reduction. Providers highlight sustainability concerns under current payment model.

Kinney Drugs Partners with EnlivenHealth to Offer Free Medicare Part D Plan Comparisons

Kinney Drugs and EnlivenHealth collaborate to assist seniors with free Medicare Part D plan comparisons during the open enrollment period ending December 7. Over 460 stand-alone PDPs and numerous Medicare Advantage plans make enrollment decisions complex.

West Virginia At-Home Care Service Launches Medicare-Funded Program for Neurological Conditions

Right at Home in West Virginia introduces a Medicare-funded program providing respite care for seniors with dementia, Parkinson's, and Alzheimer's. The initiative offers tailored care plans to support family caregivers managing chronic neurological conditions.

CMS Ends Largest U.S. Experiment for Incentivizing Home Dialysis and Transplantation

CMS will end the End-Stage Renal Disease Treatment Choices (ETC) model after studies show it did not increase home dialysis or transplant rates among Medicare patients, signaling a shift in U.S. renal care strategies.

CMS Finalizes 1.3% Medicare Home Health Payment Cut for 2026 Amid Industry Concerns

CMS finalizes a 1.3% Medicare payment cut to home health agencies for 2026, highlighting industry concerns over reimbursement declines, workforce impacts, and care access challenges.

MemorialCare Offers 2026 Medicare Advantage Plan Education Sessions in Long Beach

Long Beach seniors can learn about 2026 Medicare Advantage Plan updates and enrollment options during MemorialCare's in-person and virtual sessions before the December 7 enrollment deadline.

CMS Proposes 2027 Medicare Advantage Rule; Drug Price Negotiations Advance

Summary of recent CMS proposals affecting 2027 Medicare Advantage and Part D, plus updates on Medicare drug price negotiations impacting federal health programs.

House Extends Medicare Hospital-Level Care at Home Program Through 2030

The U.S. House passes H.R. 4313 to extend the Medicare Acute Hospital Care at Home program through 2030, enhancing reimbursement for hospital-level care provided at home.