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 budget changes could cut Medicaid and Medicare funding in Connecticut, risking coverage for 175,000 residents and impacting the state economy.
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 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.
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.
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 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 introduces the WISeR Model pilot program leveraging AI-driven prior authorization to reduce Medicare overuse and fraud in six states from 2026-2031.
Starting in 2025, Medicare prescription drug plans will have a new $2,000 out-of-pocket cap under the Inflation Reduction Act, eliminating the donut hole and lowering costs for beneficiaries. This applies to both Part D and Medicare Advantage plans with drug coverage.
House GOP doctors outline reforms targeting Medicare fraud, PBM-driven drug costs, and graduate medical education funding to address Medicare insolvency and healthcare cost inflation.
