Audit finds New York's Medicaid program lost nearly half a billion dollars by not enrolling eligible seniors in Medicare, costing state budgets as federal funding declines. Recommendations urge improved enrollment procedures and state-local coordination.
US government pursues civil forfeiture against two Florida DME companies accused of over $33 million in fraudulent Medicare claims for medically unnecessary equipment and services.
Physician reimbursement rates have declined significantly amid rising workloads and inflation, causing financial strain on practices and impacting patient access. CMS updates and legislative proposals aim to address these challenges.
The 2025 Medicare Trustees Report projects Hospital Insurance trust fund depletion by 2033, with increasing Medicare costs impacting beneficiaries and taxpayers. Explore implications for Medicare policy and finance.
Trump administration proposes a Medicare and Medicaid pilot to cover GLP-1 weight loss drugs, highlighting access benefits alongside fraud and regulatory oversight challenges.
The American Physical Therapy Association advances Medicare payment reforms and expanded physical therapy access through focused advocacy on Capitol Hill, impacting reimbursement and compliance.
CMS proposes a 6.4% cut in 2026 Medicare payments to home health agencies, driven by PDGM budget neutrality adjustments and expanding Medicare Advantage enrollment. HHAs must assess financial impacts, advocate, and optimize operations.
Walmart introduces a feature allowing Medicare Advantage members to access plan benefits on Walmart.com, assisting seniors in maximizing healthcare-related savings while shopping.
SafeRide Health ranks No. 358 on the 2025 Inc. 5000 list, marking its rapid growth among U.S. private companies specializing in non-emergency medical transportation for Medicaid and Medicare Advantage populations.
CMS 2026 outpatient rule proposes major changes including inpatient-only list elimination and expanded ambulatory surgery center procedures, impacting Medicare payment and compliance.
