Two-Sided Risk Models Drive Success for Medicare Shared Savings ACOs
ACOs in the Medicare Shared Savings Program taking on two-sided risk show higher savings and quality outcomes, highlighting a shift in value-based care strategies.
CMS Launches ACCESS Model to Pay Medicare for Digital Health Outcomes
The CMS ACCESS Model, starting in 2026, will shift Medicare payments from service volume to health outcomes, advancing digital health in chronic disease management.
Medicare Part A Hospital Costs Rise in 2026: Implications for Seniors and Medigap Coverage
Medicare Part A hospital stay costs are increasing in 2026, with higher deductibles and coinsurance rates impacting seniors. Medigap can help cover these rising expenses, highlighting the importance of timely supplemental coverage enrollment.
Nassau University Medical Center Faces Financial Strain Serving High Medicaid Population
Nassau University Medical Center serves the highest percentage of Medicaid patients on Long Island, facing financial challenges due to low public insurance reimbursements and a high volume of psychiatric and emergency care cases.
Medicare Dental Coverage Gaps Pose Financial Risks for Retirees
Most Medicare plans do not cover routine dental care, exposing retirees to significant out-of-pocket expenses. Dental Savings Plans offer a cost-effective alternative to manage dental care costs in retirement.
2026 Medicare Annual Enrollment: Key Insurance Plan Transition Protocols
Understand the 2026 Medicare Annual Enrollment Period processes, including plan cancellations and transitions among Medicare Advantage, Medigap, and Part D drug plans, to maintain seamless healthcare coverage.
MedPAC Highlights Need for Post-Acute Care Reform and Payment Alignment
MedPAC underscores the need for aligning post-acute care payments, reforming Medicare Advantage prior authorizations, and advancing value-based programs in upcoming Medicare policies.
Medicare Advantage Plans Face Criticism Over Care Delays and Hospital Participation
Medicare Advantage plans attract over half of Medicare enrollees but face scrutiny for claim delays and hospital network restrictions, prompting legislative transparency efforts.
Analysis of WISeR Pilot Program's Impact on Medicare Service Authorizations
Insightful analysis of the WISeR pilot program's implications on Medicare prior authorization processes, healthcare fraud prevention, and impact on beneficiaries.
How IRS Filing Status Impacts Medicare Part B and D Premiums
Understand how IRS tax filing status affects Medicare Part B and D premiums through IRMAA income thresholds and enrollment timing.