Tag: Medicare

New Healthcare Regulations Impacting Virginia, Maryland, and D.C. Insurance

Explore the significant healthcare legislative changes in 2026 for Virginia, Maryland, and D.C. that will impact insurance providers and compliance strategies.

Healthcare Overhaul of 2025: Exploring the One Big Beautiful Bill Act

Discover the 2025 healthcare reforms powered by the One Big Beautiful Bill Act. Learn how it transforms Medicaid, Medicare, ACA, and insurance strategies.

CMS Halts Mandatory Medicare Reporting for Skilled Nursing Facilities

Stay informed on CMS's pause of Medicare reporting requirements for SNFs, impacting compliance timelines. Essential updates for healthcare providers.

Impact of Lapsed Federal Subsidies on California Health Insurance Costs

Explore how the lapsed federal subsidies impact health insurance premiums in California, affecting coverage and costs for individuals and insurers.

Regulatory Shift Exempts ICHRAs from Medicare Part D Notifications

A proposed regulation could exempt ICHRAs from Medicare Part D notifications, reducing compliance burdens. Stay informed about potential changes to health plan operations.

Study Highlights Elevated Administrative and Financial Burdens in Medicare Advantage for Patients with Multiple Chronic Conditions

Analysis reveals higher administrative and financial burdens for Medicare Advantage enrollees with multiple chronic conditions, highlighting the impact of managed care on treatment complexity.

CMS Proposes Removing HRA Medicare Part D Creditable Coverage Reporting

CMS proposes removing creditable coverage reporting requirements for HRAs under Medicare Part D to reduce administrative burdens and beneficiary confusion.

Nassau University Medical Center Faces Financial Strain Serving High Medicaid Population

Nassau University Medical Center serves the highest percentage of Medicaid patients on Long Island, facing financial challenges due to low public insurance reimbursements and a high volume of psychiatric and emergency care cases.

Medicare Diabetes Prevention Program Faces Low Enrollment and Operational Challenges

The Medicare Diabetes Prevention Program has enrolled less than 1% of eligible beneficiaries since 2018 due to administrative, referral, and awareness challenges despite proven effectiveness. CMS changes aim to improve access and provider reimbursement.

Medicare Reimbursement Challenges Threaten Rural Office-Based Medical Practices

Medicare's outdated reimbursement system is jeopardizing rural office-based medical practices by underpaying for advanced outpatient procedures, leading to consolidation and increased healthcare costs. Proposed reforms aim to preserve independent care and improve access.