Medicare Does Not Cover Nursing Care: Key Insights for Retirement Planning
Understand why Medicare does not cover nursing care and what this means for retirement and disability insurance planning.
Key Considerations for Medicare Advantage Plan Changes in 2026
Understand key Medicare Advantage plan changes in 2026, including costs, provider networks, telehealth expansion, and managing out-of-pocket limits for optimal healthcare coverage.
Key Considerations for New Medicare Advantage Enrollees in 2026
Understand essential factors for new Medicare Advantage enrollees in 2026 including plan costs, network restrictions, out-of-pocket limits, and telehealth benefits to optimize coverage and manage expenses.
CMS Relief Payments for Change Healthcare Cyberattack Reveal Overpayment Issues
Health Affairs report reveals CMS overpaid hospitals $2.2B in relief after the 2024 Change Healthcare cyberattack, highlighting challenges in Medicare reimbursement disruption and relief program design.
CMS Announces ACCESS Model to Test Outcome-Payment Approach for Tech-Driven Chronic Care
CMS launches the ACCESS Model to link Medicare payments to clinical outcomes, expanding technology-supported care for chronic disease management starting July 2026.
Medicare Advantage Strategies Could Save $7B in Traditional Medicare Costs
A Berkeley Research Group report reveals Traditional Medicare could save $7 billion by adopting Medicare Advantage utilization and fraud strategies, reducing overspending on services like skin substitutes and genetic testing.
Challenges in Medicare Enrollment Communication Impacting Call Response Rates
High call volumes and limited caller ID on landlines during Medicare enrollment cause missed calls; email notifications are limited to daily updates only when new information arrives.
AMA Advances U.S. Healthcare Policy to Reduce Physician Burden and Support Digital Health
Explore AMA's advocacy on Medicare prior authorization reform, FDA's TEMPO pilot for digital health, CMS policy challenges, and proposed HIPAA cybersecurity updates impacting U.S. healthcare providers.
New Scam Targets Veterans with Misleading Medicare Supplemental Dental Coverage Offers
A new scam targeting veterans uses mailed cards promising free dental coverage to mislead recipients into contacting Medicare supplemental insurance sellers. This highlights ongoing challenges in insurance marketing compliance and consumer protection for veterans.
CMS Launches WISeR Model to Enhance AI-Driven Prior Authorization in Medicare
CMS introduces the WISeR Model in six states to optimize prior authorization using AI, aiming to reduce low-value services and Medicare costs starting 2026.