INSURASALES

Tag: Medicare

CMS Narrows Medicare Custody Definition to Expand Coverage Access in 2025

CMS finalized a 2024 rule narrowing Medicare custody to physical confinement, expanding Medicare coverage for community-supervised individuals starting 2025.

Cigna Group Faces Sector Challenges Amid Rising Costs and Mixed Market Signals

Cigna Group navigates rising medical costs, specialty drug expenses, and mixed trading signals as analysts maintain a positive outlook amid sector-wide challenges.

Medicare Advantage Plans: Key Drawbacks Affecting Coverage and Care

Explore the critical limitations of Medicare Advantage plans impacting provider access, prior authorization delays, and coverage costs, with insights relevant for healthcare and insurance professionals.

CMS Proposes 2.4% Medicare Payment Increase and New Two-Tier Physician Reimbursement Model for 2026

CMS proposes 2.4% Medicare payment increase for outpatient and surgery centers in 2026 with a new two-tier physician payment model to promote value-based care participation, amid concerns over long-term financial sustainability for providers.

Rising Insurance Costs Shape Retirement Planning Strategies in 2025

Rising healthcare, long-term care, and homeowners insurance costs challenge retirement planning in 2025, highlighting the importance of Medicare Advantage and health savings accounts.

HHS Targets $14 Billion in Savings by Addressing Duplicate Medicaid and ACA Enrollments

HHS and CMS are tackling duplicate enrollments in Medicaid, CHIP, and ACA plans to save $14 billion annually by improving program integrity and reducing waste.

Avoiding Lifetime Penalties in Medicare Part D Enrollment

Learn how to avoid lifetime Medicare Part D penalties by timely enrollment, understanding creditable coverage, and utilizing Extra Help financial assistance programs.

America's Physician Groups Advocate Accountable Care Relationships for Medicare Beneficiaries

Susan Dentzer of America's Physician Groups emphasizes accountable care relationships for Medicare beneficiaries to improve coordination, reduce hospitalizations, and support smaller practices.

How the One Big Beautiful Bill Will Impact Your Clients: What Agents and Advisors Need to Know

Explore the One Big Beautiful Bill Act of 2025 and its significant impacts on seniors, small businesses, and the insurance market, including tax extensions, Medicaid cuts, and Medicare policy updates.

CMS Launches Hospital Drug Acquisition Cost Survey Under Executive Order to Inform Medicare Payment Adjustments

CMS initiates survey collecting hospital outpatient drug acquisition costs to align Medicare payments with actual costs under the 2026 OPPS update, following a federal Executive Order to reduce prescription drug expenses.