Tag: Medicare

CMS Launches ACCESS Model to Advance Outcome-Based Payments in Medicare FFS

CMS initiates the ACCESS Model, a 10-year voluntary program testing outcome-based payments for Medicare fee-for-service providers, enhancing integrated, tech-supported chronic care.

CMS Final Home Health Medicare Rule Cuts Payments by 1.3%, Revises Methodology

CMS's finalized Medicare payment rule for home health agencies reduces payments by 1.3% and revises payment methodology following industry feedback, signaling modest future increases but immediate financial challenges.

Tyson Plant Closure and Medicare Choices Impact Nebraska's Insurance Landscape

Explore how Tyson's Lexington plant closure and Medicare choices are reshaping insurance and risk considerations in Nebraska's agriculture and healthcare sectors.

CMS Announces 9.7% Medicare Part B Premium Increase for 2026

CMS announces a 9.7% increase in Medicare Part B premiums for 2026, affecting individuals earning $109,000 or less. Updates on oncology drug reimbursement and legal challenges to the CMS 340B drug rebate pilot program highlight shifting dynamics in Medicare regulation and healthcare compliance.

CMS Negotiates Discounts on 15 Drugs, Including Cancer Therapies

CMS has secured significant price reductions on 15 drugs including costly cancer treatments, impacting Medicare Part B pricing and healthcare costs.

Medicare-X Choice Act Reintroduced to Expand Affordable Public Insurance Option

U.S. Senators reintroduce Medicare-X Choice Act to create a public health insurance option aimed at expanding coverage, reducing costs, and increasing competition within ACA and Medicare frameworks.

IRS Filing Status Impacts Medicare Premiums via IRMAA Thresholds

Understand how IRS tax filing status influences Medicare Part B and Part D premiums through IRMAA income thresholds. Learn about impact on premium calculations and filing strategies.

Medicare Payment Advisory Commission Proposes 2027 Payment Updates with Focus on Safety-Net Hospitals

The Medicare Payment Advisory Commission's draft recommendations for 2027 include maintaining hospital service rates, increasing physician payments, reducing post-acute facility rates, and introducing safety-net hospital funding.

MedPAC Reports Stable Medicare Hospital Sector, Proposes Targeted Support for Safety-Net Facilities

MedPAC's 2024 report finds stability in Medicare hospitals with rising service use and improved finances. Proposes $1B for hospitals serving more low-income patients and supports site-neutral payment expansion.

Congress Debates Healthcare Affordability, CMS Proposes 2027 Medicare Policy Updates

Explore key 2025 updates on healthcare affordability debates in Congress, CMS 2027 Medicare policy proposals, PBM reform legislation, and HHS AI strategy shaping U.S. insurance and Medicare landscapes.