Tag: Medicare

Medicare Telehealth Flexibilities Extended After Government Shutdown Ends

Medicare telehealth flexibilities extended through January 2026 following government shutdown, with CMS issuing updated enrollment and billing guidance to Medicare providers.

2026 Medicare Coverage and Policy Updates Impact on Beneficiaries

Explore key 2026 Medicare coverage options and policy updates affecting beneficiaries' medical and financial needs. Learn how new changes impact Medicare plans.

Medicare Drug Price Negotiations Yield Significant Savings for 15 Key Medications

Pharmaceutical companies agree to reduce Medicare prices for 15 prescription drugs, potentially saving billions in taxpayer and patient costs under new negotiation rules starting in 2027.

CMS Proposes 2027 Medicare Advantage and Part D Updates Including IRA Changes and Star Rating Revisions

CMS issues proposed 2027 rules updating Medicare Advantage and Part D programs, implementing Inflation Reduction Act changes, revising star ratings, marketing oversight, and program integrity requirements.

CMS Launches Mandatory TEAM Bundled Model in 2026: Implications for Home Health Providers

CMS's mandatory TEAM model starts in 2026, bundling payments for select procedures and increasing home health utilization. Key insights on risks, preparation, and hospital partnerships for providers.

United Healthcare Exits Medicare Advantage Plans in Sanders County in 2026

United Healthcare will discontinue Medicare Advantage plans in Sanders County starting January 2026, requiring affected members to find alternative coverage. Clark Fork Valley Hospital retains its United Healthcare contracts amid the insurer's market exit.

CMS Proposes Medicare Coverage for Legal CBD Amid Regulatory Uncertainty

CMS proposes Medicare coverage for federally and state-legal CBD products, highlighting evolving regulatory approaches amid clinical evidence and hemp legislation conflicts.

CMS Indefinitely Postpones Skilled Nursing Facility Ownership Revalidation Deadline

CMS delays skilled nursing facilities' mandatory ownership revalidation indefinitely due to system issues, maintaining transparency rules amid compliance challenges.

Medicare Pilot Introduces AI-Driven Prior Authorization in Six States

The new WISeR Medicare pilot uses AI to manage prior authorizations, impacting care access and insurer incentives in six states, with significant implications for rural healthcare.

ASCRS Advocates for Ophthalmology Amid Medicare Cuts and Scope of Practice Challenges

ASCRS addresses 2025 Medicare cuts, CMS proposals impacting cataract surgery reimbursement, scope of practice expansions, and advocates for fair payment and regulatory reforms in ophthalmology for 2026.