New Law To Eliminate Deceptive MA Comparisons to Protect Vulnerable Seniors
Congressional bill aims to improve Medicare Advantage comparisons by using accurate data and transparent methods, ensuring fair Medicare policy for seniors and taxpayers.
CMS Extends Medicare Revalidation Deadline for Skilled Nursing Facilities to 2026
CMS extends the Medicare off-cycle revalidation deadline for skilled nursing facilities to January 1, 2026, maintaining the existing requirements. Providers should prepare to comply to avoid Medicare participation disruptions.
Hospital ACO Participation Shows Limited Impact on Emergency Department Admissions and Costs
Study finds hospital involvement in Medicare ACOs does not significantly change emergency department admission rates, length of stay, or costs, suggesting current ACO models have limited impact on acute care spending.
August 2025 EMS Financial Index Offers Key Benchmarks for EMS Agencies
The August 2025 EMS Financial Index from PWW Advisory Group delivers critical financial benchmarks and reimbursement trend analysis to support EMS agencies' revenue cycle management and financial stability amid changing regulations.
Federal Judge Rejects Elevance Health's Challenge to Medicare Star Ratings
A Texas federal judge has denied Elevance Health's legal challenge against CMS's Medicare Advantage star ratings, reaffirming the complex regulatory framework influencing insurers' government bonus payments.
Medicare Coverage Limits for Saxenda Highlight Challenges in Weight Loss Drug Access
Explore Medicare coverage limitations for Saxenda, a GLP-1 agonist approved for weight loss, and the implications for obesity drug access and insurance plan strategies.
Medicare Part D Premiums May Rise Up to $50 Monthly in 2025
Medicare Part D enrollees may face significant premium hikes up to $50 monthly in 2025 due to increased drug spending, policy changes, and reduced federal stabilization funding. Compare plans during open enrollment.
Urban Hospitals Exploit Medicare Dual Classification to Access Rural Benefits
Urban hospitals are increasingly using Medicare's dual classification to claim rural benefits, impacting funding for truly rural hospitals and raising policy concerns.
New York State Medicaid Loses $500M from Inadequate Medicare Enrollment Oversight
New York State's failure to enforce Medicare enrollment for eligible seniors costs Medicaid $500 million amidst federal funding cuts, raising concerns over state health spending and oversight.
Medicare Supplement Plan G Leads Post-Plan F as Top Medigap Choice in 2025
Medicare Supplement Plan G has become the leading Medigap coverage option in 2025, offering seniors extensive protection beyond Original Medicare except for the Part B premium. Learn about costs, coverage, and plan benefits.