Tag: Medicare

Rising Medicare Scam Calls Disrupt Patients and Prompt Regulatory Efforts

Medicare beneficiaries face rising scam calls during open enrollment, disrupting patient care and prompting increased regulatory enforcement by the FCC and FTC.

Medicare Open Enrollment Deadline and Risks of Medicare Advantage Plans

December 7 is the open enrollment deadline for Medicare plans, highlighting critical considerations between traditional Medicare and Medicare Advantage options for older adults.

CMS Launches AI-Powered Prior Authorization Pilot in Traditional Medicare

CMS initiates AI-driven prior authorization pilot in traditional Medicare across six states to reduce wasteful services and control costs, raising provider concerns over care delays.

Rhode Island Health Insurance Enrollment: Navigating Subsidy Changes and Plan Choices

Rhode Island's health insurance enrollment period highlights challenges with expiring subsidies, diverse plan options, and network limitations, affecting marketplace shoppers, Medicare enrollees, and workers with employer plans.

Medicare Part B Premiums to Rise 9.7% in 2026 Impacting Social Security Benefits

Medicare Part B premiums will increase 9.7% in 2026, reducing Social Security benefit gains. Learn about the impact on retirees, rising deductibles, and strategies to manage higher Medicare costs.

Kentucky Senator Urges Protection of Medicare Advantage Funding

Kentucky Senator Craig Richardson calls on lawmakers to protect Medicare Advantage funding against proposed cuts from the No UPCODE Act, emphasizing crucial benefits for seniors including prescription drugs and in-home care.

Insurance Services Offered by Health Markets in Pennsylvania

Scott Corna of Health Markets Insurance Agency offers diverse insurance solutions including Medicare, health, and small business coverage in Pennsylvania. Available in 49 states.

TRICARE For Life Claims Filing: Essential Guidance for Medicare Beneficiaries

Understand the TRICARE For Life claims filing process, including when beneficiaries must file with WPS Government Services and how to navigate Medicare and TRICARE coordination for efficient reimbursement.

CMS Launches AI-Driven Prior Authorization Pilot in Traditional Medicare

CMS is launching the WISeR Model, an AI-powered prior authorization pilot in traditional Medicare aimed at reducing wasteful services. The program raises concerns about care delays and administrative burdens among healthcare providers in six states.

Novant Health ACO Leads U.S. in Medicare Shared Savings Program Quality Scores

Novant Health's Accountable Care Organization achieves highest national quality score in 2024 Medicare Shared Savings Program, highlighting leadership in preventive care and chronic disease management.