Tag: Medicare

Medicare Scams Alert: Key Protections During Open Enrollment Period

Protect Medicare beneficiaries from scams during the Open Enrollment Period with key prevention and reporting guidelines including contact info for fraud reporting.

Medicare Telehealth Flexibilities Face Expiration Amid Congressional Funding Deadlock

Key Medicare telehealth flexibilities are set to expire September 30, 2025, amid stalled Congressional funding talks, risking rollback of virtual care policies and reimbursement.

Strategies for Medicare Annual Enrollment Period Success in 2024

Explore effective strategies for Medicare Annual Enrollment Period 2024 to enhance client trust, streamline processes, and ensure regulatory compliance.

UnitedHealth Faces Pressure for Greater Financial Transparency Amid Stock Decline

UnitedHealth Group's stock has plummeted amid concerns over opaque financial reporting and Medicare Advantage upcoding investigations. Analysts demand greater transparency to assess future performance and regulatory impacts in the U.S. health insurance market.

Congress Faces Government Shutdown Amid ACA Subsidy Dispute

Congress is nearing a government shutdown as Democrats and Republicans clash over expiring ACA subsidies and health care funding. The standoff threatens federal services and employee pay.

AI-Assisted Prior Authorization Pilot Launches in Washington Medicare

The federal government starts a 6-year AI-assisted prior authorization pilot in Washington and five other states to improve Medicare coverage decisions for costly procedures.

Jack County Hospital District Approves FY 2025-2026 Budget Amid Shifting Medicare Payer Mix

Jack County Hospital District adopts FY 2025-2026 budget with focus on capital needs, rural ambulance grants, and managing shifts between Medicare Advantage and traditional Medicare claims.

Smart Medigap Plans Expands Medicare Supplement Options in Texas

Smart Medigap Plans broadens Medicare supplement offerings in Texas, enhancing coverage options for Medicare beneficiaries including prescription drug and supplemental insurance.

Impact of MFN Drug Pricing Policy on Medicare Part D Deadline Approaches

The looming deadline for drugmakers to comply with the Most Favored Nation drug pricing policy raises concerns over potential disruptions to Medicare Part D, highlighting regulatory and market risks for U.S. drug pricing and federal entitlement programs.

Medicare Launches AI-Driven Prior Authorization Pilot to Cut Waste

The Trump administration's Medicare pilot introduces AI-driven prior authorization to reduce waste and control costs, raising regulatory and patient care concerns.