Tag: Medicare

60 Years of Medicare and Medicaid: Challenges Ahead with Funding Cuts

Marking 60 years of Medicare and Medicaid, recent legislation threatens major cuts increasing costs and reducing coverage for millions, including New Hampshire residents.

SSA Notifies 850,000+ ZIP Codes on Medicare Extra Help & Savings Programs in 2025

In 2025, the SSA notified over 850,000 ZIP codes about Medicare Extra Help and Medicare Savings Programs, emphasizing eligibility criteria and benefits available to reduce beneficiaries' out-of-pocket costs on prescription drugs and medical expenses.

Rising Primary Care Physician Exits from Medicare Signal Access Concerns

Analysis shows rising exits of primary care physicians from Medicare fee-for-service, highlighting access challenges for older adults and shifts to Medicare Advantage and direct primary care models.

Federal Funding Cuts Threaten Medicaid and Medicare Coverage in Connecticut

Federal budget changes could cut Medicaid and Medicare funding in Connecticut, risking coverage for 175,000 residents and impacting the state economy.

OBBBA's Impact: Largest Medicaid Cuts and ACA Subsidy Rollbacks

The One Big Beautiful Bill Act enacts historic Medicaid cuts and ACA subsidy reductions, raising premiums and insurer withdrawals, impacting millions and state budgets.

CMS Expands Medicare Payment Reforms and Medicaid Financing Overhaul

CMS releases 2026 Medicare payment reforms focusing on site-neutral payments, alongside Medicaid financing reforms in the One Big Beautiful Bill and updates on Part D bids influenced by the Inflation Reduction Act.

Impact of 2025 Federal Legislation on Medicare and Medicaid Coverage

Explore the implications of the 2025 One Big Beautiful Bill Act on Medicare and Medicaid programs, focusing on coverage changes, eligibility hurdles, and the impact on rural hospitals and long-term care.

Key Retirement Planning Insights: Crypto Allocation, Target Date Funds, and Medicare Premiums

Explore expert insights on retirement planning with crypto allocations, target date fund strategies, and managing rising Medicare Part B premiums for optimal retirement outcomes.

Medicare’s Post-Surgical Payment Reform Hinges on Telehealth Physical Therapy Coverage

Medicare is reforming post-surgical payments to hold hospitals accountable for 30-day post-discharge costs. The sustainability of this model depends on permanent Medicare coverage for telehealth physical therapy, a cost-effective and patient-preferred rehabilitation method. Congressional action is critical to extend tele-PT benefits.

CMS Launches WISeR Model to Cut Overuse in Medicare with AI-Driven Prior Authorization

CMS introduces the WISeR Model pilot program leveraging AI-driven prior authorization to reduce Medicare overuse and fraud in six states from 2026-2031.