CMS-Funded GUIDE Program Launches to Enhance Dementia Care Coordination
The CMS-funded GUIDE Program enhances dementia care with coordinated, personalized support for Medicare beneficiaries and caregivers in community settings.
New U.S. Appropriations Act Extends Medicare Telehealth Flexibilities Through Jan 2026
The U.S. government passed H.R. 5371, ending the shutdown and extending Medicare telehealth flexibilities through January 2026, ensuring continued coverage and retroactive payments for telehealth claims.
CMS Launches Ambulatory Specialty Model for Chronic Condition Specialists in 2027
CMS introduces the Ambulatory Specialty Model, a new mandatory payment model for specialists treating low back pain and heart failure, effective from 2027 to improve care quality and reduce costs.
Novo Nordisk, Eli Lilly Cut GLP-1 Prices for Expanded Medicare Market Access
Novo Nordisk and Eli Lilly agree to lower GLP-1 drug prices in exchange for expanded Medicare and Medicaid coverage, marking a major shift in U.S. drug pricing and access.
Medicare Home Health Reimbursement Cut Looms Amid Shutdown Delay
The 2026 Medicare home health final rule release is delayed due to the government shutdown. Proposed 9% reimbursement cuts spark industry-wide concern and strategic responses from key providers and advocacy groups.
Stellar Health's MSSP ACO Achieves $5M Medicare Savings with Tech-Enabled Model
Stellar Health's MSSP ACO surpasses Medicare average savings with $5M saved in 2024, leveraging tech-enabled micro-incentives to improve provider performance and patient outcomes in value-based care.
High Costs and Political Influence Cloud Medicare Skin Substitute Policy
Explore how political donations and regulatory delays have impacted Medicare coverage and spending on costly skin substitute products lacking scientific validation.
U.S. Health Insurance and Policy Updates: ACA Subsidies, Medicare Reforms, and Healthcare Innovations
Comprehensive update on U.S. health insurance market dynamics including ACA subsidy uncertainty, Medicare specialty payment reforms, SNAP funding challenges, healthcare industry consolidations, pharmaceutical litigation, and emerging clinical innovations affecting insurance professionals.
Medigap Plans F, G, and N: Key Insights for U.S. Insurance Professionals
Explore essential insights into Medigap Plans F, G, and N, focusing on coverage, enrollment periods, and regulatory nuances critical for U.S. insurance professionals advising Medicare beneficiaries.
Community Paramedics Reduce Hospital Readmissions Under Medicare Penalties
Community paramedics and post-discharge monitoring reduce hospital readmissions and Medicare penalties, improving patient outcomes and cost efficiency in Minnesota hospitals.