Tag: Medicare

CMS Launches ACCESS Model to Transform Chronic Care with Outcomes-Based Payments

CMS announces the ACCESS Model, a 10-year initiative starting in 2026 to advance technology-supported, outcomes-based care for Medicare beneficiaries with chronic conditions, emphasizing performance-driven payments and regulatory compliance.

House Veterans’ Affairs Committee Debates Funding Approaches for Veterans Benefits and Healthcare

The House Veterans’ Affairs Committee reviews bills addressing funding for veterans benefits and healthcare, focusing on VA loan fees and Medicare Advantage reimbursements to reduce duplicative spending and improve care financing.

Key Updates on 2026 Medicare Premiums, Deductibles, and Enrollment Deadlines

Stay informed on 2026 Medicare premium increases, deductible changes, and key enrollment deadlines. Understand how new CMS rates impact Medicare beneficiaries and the importance of supplemental coverage.

Geisinger Offers 2026 Medicare Advantage Plan Info Sessions Ahead of Enrollment Deadline

Geisinger Health System hosts 2026 Medicare Advantage plan seminars for eligible seniors before the December 7 enrollment deadline, highlighting plan benefits and CMS ratings.

CMS Proposes Major Medicare Advantage and Part D Program Updates for 2027

CMS proposes significant updates to Medicare Advantage and Part D programs for 2027, including Star Ratings revisions and increased quality bonuses, impacting Medicare spending and compliance.

2025 Year-End Financial and Insurance Planning Amid Regulatory Changes

Comprehensive 2025 year-end financial planning guide covering tax law changes under OBBBA, retirement savings strategies, rising health care costs, Medicare premium updates, and insurance market shifts to optimize tax benefits and manage risks.

CMS Proposes Comprehensive CY2027 Medicare Advantage and Part D Regulatory Updates

CMS releases proposed rule for CY2027 Medicare Advantage and Part D programs with key changes to Part D redesign, Star Ratings, special enrollments, and marketing compliance. Regulatory updates impact plan operations, quality metrics, and data access.

Mindpath Care Centers Settles $1.9M Medicare False Claims Allegation

Mindpath Care Centers settles $1.9 million Medicare false claims case involving behavioral health psychotherapy billing violations. Impact on compliance and regulatory enforcement.

Medicare ACO Partners with CCGroup to Optimize Specialist Referral Efficiency

CCGroup selected by a Medicare ACO to develop a Specialist Golden Referral Network, leveraging data analytics to improve specialist efficiency and reduce elective procedure variation.

CMS Proposes Major 2027 Medicare Advantage and Part D Program Reforms

CMS proposes extensive changes to the 2027 Medicare Advantage and Part D programs, including benefit design reforms, new enrollment rules, marketing policy updates, and modifications to quality ratings and special needs plans.