Tag: Medicare

Medicare-X Choice Act Reintroduced to Establish Public Health Insurance Option

The Medicare-X Choice Act reintroduced to create a public health insurance option, aiming to expand coverage, reduce costs, and increase competition amid Medicaid cuts and ACA tax credit expirations.

Pennsylvania Medicare Open Enrollment Ends Dec 7 with Expanded Plan Options

Pennsylvania's Medicare open enrollment deadline is Dec. 7, 2025, with 334 Medicare Advantage plans and low premiums available. Learn about coverage options, deadlines, and assistance programs for seniors.

CMS Finalizes 2026 Payment Updates and Policy Changes for OPPS and ASCs

CMS announces 2026 updates for OPPS and ASC payment systems, including expanded site neutral payments, skin substitute product unbundling, IPO list phase-out, and new hospital price transparency requirements.

CMS Medicare Drug Price Negotiations Yield $12B Savings on 15 High-Cost Medications

CMS announces $12 billion savings from Medicare drug price negotiations on 15 high-cost medications, effective 2027, enhancing Medicare Part D sustainability.

CMS Proposes Major 2027 Medicare Advantage and Part D Updates Following Inflation Reduction Act

CMS's 2027 proposed rule outlines key Medicare Advantage and Part D program updates, codifying Inflation Reduction Act changes, adjusting Star Ratings, and modernizing marketing and risk adjustment frameworks.

Medicare Open Enrollment: Key Changes in Part D Plans for 2025

Medicare open enrollment ends soon; JABA offers free counseling to help beneficiaries review and select their 2025 Part D prescription drug plans. Nearly 3,000 people saved $4.4M on prescription costs.

Strategies to Manage Medicare Part D Prescription Costs in 2026

Explore key strategies and programs to reduce Medicare Part D prescription medication costs in 2026, including Extra Help, state assistance, generic options, and payment plans.

NY Lawmakers Call for Health Department Review of Optum's Network Changes

New York lawmakers request health department review of Optum's network exclusions and clinic closures amid Medicaid and Medicare changes affecting healthcare access.

OIG Finds Medicare Overpaying for Continuous Glucose Monitors; Recommends Payment Cuts

OIG report identifies Medicare overpayments for continuous glucose monitors and urges CMS to reduce payment rates, highlighting potential savings.

OIG Audit Finds Medicare Overpayments for Optometry Services in Nursing Homes

A recent OIG audit identifies $4.7 million in Medicare overpayments to optometrists for nursing home services due to insufficient CMS review processes and billing controls. The report urges enhanced oversight and provider training to prevent future improper payments.