INSURASALES

Tag: Medicare

Wyoming Implements Medicare Birthday Rule to Enhance Medigap Market Competition

Wyoming adopts a Medicare birthday rule allowing seniors to switch Medicare Supplement plans annually without denial, boosting competition and affordability in the Medigap market.

CMS Pilots Medicare Pre-Authorization Requirements in Six States

CMS launches a six-year pilot requiring pre-authorizations for 17 medical services in traditional Medicare across six states, aiming to control costs and reduce service overuse.

NY Medical Supply Firms Accused of Medicare and Insurance Billing Fraud

Two New York medical supply companies face allegations of fraudulent billing to Medicare and insurance agencies, with numerous consumer complaints reported to the BBB.

Medicare Faces $10.6 Billion Fraud Network Indictment

A $10.6 billion Medicare fraud scheme involving stolen data and false medical equipment claims leads to federal indictments, spotlighting compliance and regulatory challenges in health insurance.

Michigan Physician Sentenced for $6.3M Medicare Fraud Scheme

Michigan physician sentenced to four years for involvement in $6.3 million Medicare fraud, emphasizing the need for robust fraud detection and compliance in healthcare.

Electronic Caregiver Launches Addison Care: AI-Driven 3D Virtual Caregiver for Medicare under CMS Codes

Electronic Caregiver introduces Addison Care, the first 3D AI-powered virtual caregiver integrated with athenaOne EHR, delivering enhanced Remote Patient Monitoring and Chronic Care Management services for Medicare patients under CMS reimbursement.

DOJ Unveils Largest U.S. Healthcare Fraud Takedown Targeting Medicare and Medicaid

The DOJ and federal agencies announced the largest healthcare fraud crackdown in U.S. history, charging 324 defendants for $14.6 billion in false Medicare and Medicaid claims, signaling increased enforcement on healthcare compliance.

2025 Reports Confirm Social Security and Medicare Insolvency by 2033

2025 trustees reports reveal Social Security and Medicare insolvency by 2033, requiring urgent reform to avoid drastic benefit cuts and tax hikes. Analysis of funding challenges, recent legislation, and international reform models.

U.S. Physical Therapy Reports Strong Q1 2025 Growth, Bolsters Dividend Amid Medicare Cuts

U.S. Physical Therapy posts 16.4% revenue growth and a 2.54% dividend yield in Q1 2025, offsetting Medicare reimbursement cuts with strategic expansions and payor diversification.

Social Security and Medicare Face Funding Depletion Amid Fiscal Year 2025-26 Budget Focus

Social Security and Medicare are nearing reserve depletion amid 2025-26 budget discussions, raising concerns for U.S. insurance and regulatory sectors.