CMS will end the kidney care payment model early and adjust Medicare home health reimbursements in 2026. A new 10-year program supports tech adoption for chronic disease management.
The federal government lowers obesity drug prices and expands Medicare coverage, impacting millions of patients and primary care providers with new access and cost structure.
The Centers for Medicare & Medicaid Services renews Quest Analytics contract to enhance Medicare Advantage network adequacy reviews and compliance oversight for better access to care.
A new Medicare pilot program using AI for claims review will launch in six states, including Arizona, sparking provider concerns over care denials and increased administrative processes.
Local Medicare forums in Carroll County, NH address widespread Medicare Advantage plan cancellations. Insurance agent-led discussions help seniors navigate transitions and compliance.
CMS cuts Medicare home health reimbursement by $220M in 2025, less than the proposed $1B reduction. Providers highlight sustainability concerns under current payment model.
Kinney Drugs and EnlivenHealth collaborate to assist seniors with free Medicare Part D plan comparisons during the open enrollment period ending December 7. Over 460 stand-alone PDPs and numerous Medicare Advantage plans make enrollment decisions complex.
Right at Home in West Virginia introduces a Medicare-funded program providing respite care for seniors with dementia, Parkinson's, and Alzheimer's. The initiative offers tailored care plans to support family caregivers managing chronic neurological conditions.
CMS will end the End-Stage Renal Disease Treatment Choices (ETC) model after studies show it did not increase home dialysis or transplant rates among Medicare patients, signaling a shift in U.S. renal care strategies.
CMS finalizes a 1.3% Medicare payment cut to home health agencies for 2026, highlighting industry concerns over reimbursement declines, workforce impacts, and care access challenges.
