Medicare's outdated reimbursement system is jeopardizing rural office-based medical practices by underpaying for advanced outpatient procedures, leading to consolidation and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.
CMS introduces the ACCESS Model to enhance chronic care for Medicare beneficiaries using digital health tools and outcome-based payment models starting in 2026.
The Strengthening Medicare for Patients and Providers Act proposes indexing Medicare physician payments to the Medicare Economic Index to reflect economic realities and stabilize reimbursement.
Medicare Part D faces significant plan reductions and rising costs in 2026. Beneficiaries must review their drug plans before the December 7 deadline to avoid premium hikes and coverage losses.
CMS introduces ACCESS model to enhance technology-supported care and outcome-based payments for Medicare patients with chronic conditions starting in 2026.
Rising Medicare Advantage plan terminations in Maine drive unprecedented demand for enrollment assistance, highlighting resource constraints amid complex federal and provider changes impacting seniors' health coverage.
Pharmaceutical companies agree to significant Medicare drug price cuts under Trump administration, projecting billions in savings with impacts on Medicare Part D and drug affordability.
Starting in 2026, MultiCare will no longer accept certain Medicare Advantage PPO plans, impacting access for some seniors. The shift focuses on HMO plans for better care coordination during Medicare open enrollment.
Texas HHSC to transition from Dual Demonstration Program to Integrated Dual-Eligible Special Needs Plan (D-SNP) model in 2026, enhancing Medicare and Medicaid integration for dual eligibles in STAR+PLUS.
SCAN Health Plan strategic response to Medicare patient challenges highlights healthcare system inefficiencies and innovation in Medicare managed care.
