Tag: Medicare

Healthcare Policy & Regulation News | Healthcare Dive

September 2025 U.S. Healthcare and Insurance Regulatory Outlook

Key September 2025 updates on U.S. healthcare funding, CDC leadership changes, AI in healthcare, Medicare and Medicaid policies, and COVID-19 vaccine authorization shifts impacting insurers and providers.

TeamHealth Launches TeamACO - Healthcare Innovation | Darren Swenson, MD

TeamHealth’s TeamACO Cuts Medicare Post-Acute Costs by $15.8M in 2024

TeamHealth’s TeamACO reduces Medicare post-acute care costs by $15.8M in 2024 through readmission reductions and value-based care strategies across 33 states.

Medicare Enrollment Choices Fuel Social Tensions Among Seniors

Medicare enrollment decisions between Advantage plans and traditional coverage are increasingly causing social tensions among seniors, fueled by misinformation and financial concerns. This dynamic affects personal relationships and highlights the complexities in senior healthcare insurance choices.

Medicare and Social Security Trust Funds Face Insolvency by 2033; Nebraska Offers Medicare Education

Medicare and Social Security trust funds are expected to run dry by 2033 due to rising hospital costs and weak wage growth, potentially reducing benefits by 23%. Nebraska offers Medicare education programs to assist beneficiaries in understanding their options.

CMS Pilot Uses AI for Medicare Prior Authorization, Faces Oversight Calls

CMS launches AI-driven pilot to streamline Medicare prior authorization for select services, prompting legislative calls for independent oversight to ensure patient safety and regulatory compliance.

CMS GUIDE Program Enhances Palliative Care for Dementia Patients

CMS GUIDE program integrates palliative care to improve support and care coordination for dementia patients and caregivers under Medicare Part B, addressing challenges in symptom management and caregiver respite.

Relation Insurance Services Expands Footprint with Strategic Acquisitions

Relation Insurance Services acquires two independent insurance firms to expand commercial, employee benefits, and Medicare-related offerings amid industry consolidation.

CMS Proposes 2026 Medicare Physician Fee Schedule Changes for Telehealth

The CMS 2026 proposed physician fee schedule includes updates to Medicare telehealth reimbursement, frequency limits, and supervision rules, aiming to codify pandemic-era telehealth flexibilities.

Congress Faces Tight Deadline for FY 2026 Funding Amid Partisan Challenges

Congress returns to negotiate FY 2026 government funding with a deadline on Sept 30, facing bipartisan challenges and potential shutdown.

HHS OIG Identifies Errors in NGS Medicare Cost Report Desk Reviews

HHS OIG finds widespread errors in Medicare cost report desk reviews by NGS and recommends enhanced reviewer training and procedures to improve audit accuracy and compliance.