Rodney Powell Named Top-Rated Medicare Agent in Texas for 2025
Rodney Powell, aka the Medicare Video Guy, earns top Medicare agent ranking in Texas for 2025, recognized for personalized Medicare Supplement, Advantage, and drug coverage guidance.
Medicare 2025 Trustees Report: Financial Outlook and Cost Drivers
A detailed analysis of the 2025 Medicare Trustees Report outlines financial projections and key cost drivers including Medicare Advantage's impact and reimbursement challenges.
Medicare Sequestration Cuts Triggered by 2026 Due to New Tax Bill
The recent Republican tax legislation will trigger automatic Medicare payment cuts starting in 2026 due to sequestration mandated by the Budget Control Act, impacting provider reimbursements through 2034.
Rural Health Fund Faces Distribution Challenges Amid Hospital Classification Issues
States to apply September for $50B Rural Health Fund amid Medicare cuts; concerns over urban hospitals dual-classified as rural impacting fund allocation.
CMS Price-Substitution Policy Saves $76M on Medicare Drugs Since 2013
CMS's price-substitution policy has saved $76 million for Medicare by correcting drug pricing identified by the Office of Inspector General, improving cost efficiency while maintaining access.
Massachusetts Man Pleads Guilty in $4M Medicare DME Fraud Scheme
Krishna Gidwani pleaded guilty to conspiracy in a $4M Medicare fraud involving durable medical equipment. Part of DOJ's 2025 National Health Care Fraud Takedown.
Medicare Weight Loss Drug Coverage: Legislative and Regulatory Paths
Medicare faces evolving opportunities and challenges in covering weight loss drugs through legislation like the Treat and Reduce Obesity Act and federal demonstration projects. Drug adherence and cost-effectiveness remain key issues.
CMS Proposes 2026 Medicare Telehealth Enhancements Including Behavioral Health and Remote Monitoring
CMS's 2026 Physician Fee Schedule proposal advances Medicare telehealth with expanded behavioral health codes, remote monitoring updates, and virtual Diabetes Prevention Program delivery, shaping long-term digital care integration.
Restrictive Insurance Coverage Linked to Increased MS Relapse Rates
Study reveals limited insurance coverage for multiple sclerosis drugs increases relapse risk, highlighting Medicare plan disparities and formulary restrictions.
Key Medicare Part A Criteria for Skilled Nursing Facility Coverage Explained
Understand the Medicare Part A requirements for skilled nursing facility coverage, including qualifying hospital stays, coverage limits, and copay costs essential for healthcare professionals and insurers.