Tag: Medicare

CMS Proposes Removing HRA Reporting Requirements for Medicare Part D Coverage

CMS proposes eliminating Medicare Part D creditable coverage reporting for HRAs to reduce employer administrative burden and beneficiary confusion. Learn about implications for insurance compliance and health plan regulations.

Mastering Medicare Incident-to Billing in Mental Health for Compliance and Reimbursement

Insight into Medicare incident-to billing rules for mental health, focusing on compliance, audits, telehealth supervision, and payer risk strategies to maximize reimbursement and avoid recoupments.

FlyteHealth Recognized by CMS for Cardio-Kidney-Metabolic Care Ahead of Medicare ACCESS Model

FlyteHealth is featured by CMS for cardio-kidney-metabolic disease management as part of the upcoming 10-year Medicare ACCESS Model starting in 2026, showcasing scalable virtual care solutions for chronic conditions.

Key Financial Moves for Retirees to Make Before End of 2025

Discover four critical year-end financial actions retirees should take to protect income and optimize retirement plans before 2026, including managing RMDs and rebalancing portfolios.

Arizona Wound Graft Company Owners Sentenced in $1.2B Medicare Fraud Scheme

Owners of Arizona wound graft companies sentenced to lengthy prison terms for a $1.2 billion Medicare fraud involving medically unnecessary procedures and illegal kickbacks.

FlyteHealth Selected by CMS for Medicare ACCESS Model in Cardio-Kidney-Metabolic Care

FlyteHealth has been chosen by CMS to participate in the Medicare ACCESS Model, leveraging AI-driven virtual care to manage cardio-kidney-metabolic conditions and improve outcomes for older adults.

Medicare Enrollment: Key Coverage Choices, Costs, and Penalties for 2026

Comprehensive overview of Medicare coverage options, costs, and penalties for 2026 enrollment, highlighting Original Medicare vs. Medicare Advantage plan implications for beneficiaries.

CMS Finalizes Medicare Payment Rate for Cardio Diagnostics' AI-Driven CHD Tests

CMS finalizes Medicare payment at $854 for Cardio Diagnostics' AI-driven Epi+Gen CHD and PrecisionCHD tests, enhancing access and reimbursement for early CHD detection.

CMS Reports 5.76 Million Health Insurance Marketplace Enrollments for 2026

CMS reports nearly 5.76 million enrollments in U.S. health insurance Marketplaces for 2026, including new sign-ups and renewals with detailed state-level insights.

Senators Seek to Block AI-Driven Medicare Prior Authorization Pilot

U.S. Senators propose legislation to halt CMS's AI-driven Medicare prior authorization pilot, citing concerns over care delays and provider burden in six states including Washington.