Tag: Medicare

Washington State 2024 Health Insurance Plans: Coverage, Enrollment, and Compliance

Comprehensive overview of Washington State's 2024 health insurance plans, benefits, enrollment periods, small business options, and regulatory compliance for insurance professionals.

Medicare Advantage Enrollment Growth Slows in 2025, For-Profit Plans Dominate

Medicare Advantage enrollment growth slows in 2025 with for-profit plans covering three-quarters of beneficiaries. Quality ratings decline and workforce shortages drive interest in advanced practice providers and AI solutions.

CMS Releases CY 2026 Final Rule Updating Medicare Advantage and Part D Programs

CMS finalizes key elements of the CY 2026 Medicare Advantage and Medicare Part D final rule, including insulin coverage expansion, Prescription Payment Plan codification, pharmacy data requirements, and updated enrollee protections.

CMS Advances Healthcare Interoperability, Administrative Burden Reduction Initiatives

CMS drives healthcare efficiency with initiatives like the HL7 FHIR Connectathon, Oklahoma directory pilot, HIPAA updates, and new prior authorization rules for Medicare and Medicaid.

Trump Executive Order on Drug Pricing Targets Medicare, 340B Reimbursements

Summary of Trump's executive order directing HHS to reduce prescription drug costs, focusing on Medicare reimbursement for 340B drugs, IRA drug pricing provisions, and CMS premium stabilization efforts.

Medicare Part B Expands Telehealth Coverage for Enhanced Patient Access

Medicare Part B now covers a wide range of telehealth services, enhancing healthcare access for millions of beneficiaries via virtual care platforms offering primary and urgent care nationwide.

Federal Budget Cuts Pose Risks to Medicare, Medicaid and Rural Hospitals in Arizona

Federal budget cuts targeting Medicare and Medicaid create challenges for Arizona's healthcare system, threatening rural hospitals and vulnerable populations dependent on AHCCCS coverage.

UnitedHealth's Optum Demonstrates Growth Amid Challenges in U.S. Market

Explore how UnitedHealth Group's subsidiary Optum is navigating challenges while achieving robust growth, including its strategic acquisitions and legal battles.

NY Municipal Retirees Fight for Medicare Rights: Legal Battle Continues

A detailed overview of the ongoing legal challenge by NYC municipal retirees to retain traditional Medicare supplemental insurance against a proposed switch to Medicare Advantage.

Navigating the Shift to Value-Based Care Amidst Managed Care Growth

Exploring the challenges and strategies for U.S. healthcare finance leaders in the transition to value-based care with the rise of Medicare Advantage and Medicaid Managed Care.