Tag: Medicare

Humana and Aetna Reduce Medicare Advantage Coverage Amid Rising Costs

Humana and Aetna Reduce Medicare Advantage Coverage Amid Rising Costs

Humana and Aetna reduce Medicare Advantage plan coverage in response to rising costs and government payment challenges, impacting millions of Medicare beneficiaries.

Medicare and telehealth study

Medicare Telehealth Waivers Expire, Impacting Access and Hospital-at-Home Programs

Medicare telehealth waivers and hospital-at-home programs expired on Sept. 30, risking reduced access to telehealth services for Medicare patients and operational pauses in hospital-at-home programs. Stakeholders call for permanent regulatory solutions.

2026 Federal Law to Limit Health Coverage for Lawfully Present Immigrants

The 2026 Budget Reconciliation Law limits federally funded health coverage for lawfully present immigrants, impacting Medicaid, Marketplace, and Medicare eligibility and increasing the uninsured population by 1.4 million. State-funded options may mitigate effects. Learn more about coverage changes and implications for insurers and policymakers.

HealthSpring Launches Diverse Medicare Plans for 2026

HealthSpring unveils comprehensive Medicare plans for 2026, featuring enhanced benefits, chronic condition support, and expansive coverage in 29 states and DC. Enrollment opens October 15.

Blue Cross Blue Shield Ends Vermont Medicare Advantage Plans After Significant Losses

Blue Cross Blue Shield to discontinue Vermont Medicare Advantage plans next year after substantial financial losses, impacting 30,000 Vermonters and requiring plan changes.

Medicare Open Enrollment Spurs Rise in Fraudulent Activity, Massachusetts SMP Warns

Medicare Open Enrollment 2025 in Massachusetts sees a surge in scams targeting beneficiaries. The Massachusetts SMP program urges vigilance and offers fraud prevention resources to protect Medicare coverage.

Vermont Blue Advantage to End Medicare Advantage Plans by 2025

Vermont Blue Advantage will terminate Medicare Advantage plans at end of 2025, prompting members to select new coverage during the Medicare Annual Enrollment Period. Key details on plan options, guaranteed issue rights, and regulatory guidance for Vermont residents.

Blue Shield of California Unveils 2026 Medicare Plans for Comprehensive, Affordable Coverage

Blue Shield of California introduces new 2026 Medicare plans emphasizing affordability, expanded benefits, and enhanced pharmacy services during Medicare's Annual Enrollment Period.

AHA Urges HHS and CMS to Enforce Prior Authorization Reforms

The American Hospital Association urges CMS and HHS to enforce prior authorization reforms to reduce hospital staff workload and patient delays, emphasizing implementation of electronic standards and monitoring compliance.

Congress Faces Decision on ACA Premium Credits Amid Cost and Coverage Challenges

Congress must decide soon on extending enhanced ACA premium credits, balancing coverage stability against rising federal costs and healthcare expenses.