Tag: Medicare

Court Rules Texas Hospitals Must Exhaust Medicare Appeals Before Suing Over Payment Disputes

The Fifth Circuit Court ruled Texas hospitals must complete Medicare's administrative appeal process before filing lawsuits over payment disputes, reversing a lower court decision on HHS payment restrictions.

Medicare Advantage Plans Exit Vermont, 50,000 Enrollees Seek Alternatives

Medicare Advantage plans are leaving Vermont next year, affecting 50,000 enrollees who must find alternative coverage by year-end due to federal policy changes.

Study Reveals Medicaid Spend-Down Trends Among U.S. Nursing Home Residents

New study analyzes Medicaid enrollment trends among U.S. nursing home residents, highlighting financial burdens, racial disparities, and implications for Medicaid sustainability in long-term care financing.

CMS Administrator Dr. Mehmet Oz Advises Federal Staff on Holiday Portion Control

CMS Administrator Dr. Mehmet Oz provides holiday season health and portion control advice to CMS employees to promote wellness during federal insurance program administration.

CMS Updates 2024 Therapy Code List for Medicare Billing

CMS updates the annual therapy code list for Medicare, affecting billing practices for therapists, physicians, and other providers reimbursed through Medicare Administrative Contractors.

CMS Excludes Oxygen and CPAP Supplies from 2026 Medicare Competitive Bidding

CMS excludes supplemental oxygen and CPAP devices from 2026 Medicare competitive bidding, preserving access to respiratory therapies for 1.5M Americans amid policy reforms.

2026 Medicare Physician Fee Schedule Updates: Efficiency and Payment Reforms

Explore key 2026 Medicare Physician Fee Schedule updates, including efficiency adjustments, practice expense reforms, and impacts on primary care and subspecialties under CMS policies.

Congress Extends Medicare Telehealth Flexibilities Post-Government Shutdown

The 2025 appropriations act retroactively extends Medicare telehealth flexibilities through January 2026, ensuring provider reimbursement and clear CMS guidance after the federal government shutdown.

Navigating VA and Medicare Benefits for Veterans Turning 65 in 2026

Explore how veterans turning 65 can effectively navigate VA and Medicare benefits in 2026, understanding costs, coverage differences, and enrollment strategies to optimize healthcare access and minimize expenses.

Biosimilar Bevacizumab Enables Medicare Cost Savings, Expands Cancer Treatment Access

Study shows biosimilar bevacizumab reduces Medicare costs for metastatic colorectal and lung cancer treatments, expanding patient access without raising spending.