If you have Medicare Part D or a Medicare Advantage plan, reviewing your Annual Notice of Change is crucial. It can save you money and ensure you can still see your preferred doctors and hospitals.| Latest from Kiplinger
HFMA’s Nick Hut and Shawn Stack discuss the latest in healthcare finance news. The post FY ’26 budget proposals, Medicare cuts and more appeared first on HFMA.| HFMA
Prior authorizations are becoming more common in original Medicare. In December, Medicare will begin requiring prior authorization for certain procedures when performed in ambulatory surgical centers in December.| Latest from Kiplinger
Medicare isn’t something you set once and forget because plans can change without warning. Providers can also adjust their coverage levels each year or update drug coverage. It’s best if you can do a thorough review of your plan each year, especially during the open enrollment period, to see if there are adjustments that should be made.| MedicalResearch.com | Top Innovations in 2025 That Help Patients and Professi...
September 8, 2025 On July 4, 2025, Donald Trump signed the cartoonishly-named “One Big Beautiful Bill Act” (OBBA) into law. This budget bill creates a massive regressive transfer of wealth through its harmful provisions – these provisions impose massive cuts to programs that benefit lower- and middle-income individuals in order to fund tax cuts to […]| Champaign County Health Care Consumers
Charting the Course to Retirement with OneDigital Are you beginning to picture your retirement? As we transition into this next chapter, we find ourselves at a financial and psychological crossroads. […] The post The Retirement Journey: 5 Essential Steps for a Confident Transition appeared first on OneDigital.| OneDigital
Physicians are facing rising workloads, shrinking support staff and declining reimbursement — resulting in a burnout crisis and threatening the sustainability of independent practices. Experts say urgent Medicare payment reforms are needed to prevent further consolidation, as well as preserve access to care. The post Workload Up, Payment Down: The Growing Strain on Independent Practices appeared first on MedCity News.| MedCity News
CMS wants to include ostomy and urological supplies in the next round of competitive bidding. The post CMS Proposed Medicare Cuts Threaten Access to Ostomy and Urological Supplies appeared first on United Spinal Association.| United Spinal Association
Preventing unnecessary care and medication prescriptions is the primary purpose of prior authorization. Instead, it has all too often led to slower,| Behavioral Health Business
The Medicare Annual Enrollment Period begins every year on October 15. This is a terrific opportunity for everyone on Medicare and those preparing to join Medicare to review their options and make informed decisions about what their Medicare insurance coverage will look like for the coming year. This is also the time of year when ... The post ANOC, ANOC – Who’s There? appeared first on Hally Health.| Hally Health
Improper payments have long been an avoidable drain on the federal budget and are often prominently featured as an example of wasteful spending. It is therefore not surprising that in the August 12, 2025, Government Accountability Office (GAO) updated report on open recommendations to improve government operations, reducing fraud and improper payments was first on […]| Citizens Against Government Waste
Home health operators and stakeholders have publicly criticized the U.S. Centers for Medicare and Medicaid Services’ (CMS) proposed home health payment rule for calendar year 2026 since its announcement in June. Now, interested parties are filing official comments as the public comment period for the proposed home health rule nears its end. The public comment […] The post CMS Faces Flood Of Comments Opposing 2026 Home Health Payment Rule appeared first on Home Health Care News.| Home Health Care News
A Place At Home has joined the ranks of a cohort of home care companies that care for individuals with dementia as GUIDE Model participants. The home care provider has already received encouraging patient feedback – and it sees the model not only as a way to enhance care but also as a promising new […] The post ‘It Just Made Home Care A Major Player’: A Place At Home Joins GUIDE Model appeared first on Home Health Care News.| Home Health Care News
Champaign County Health Care Consumers (CCHCC) is preparing for a busy fall. We will be hosting a community meeting to help explain the provisions of the so-called “One Big Beautiful Bill Act”, which included massive spending cuts to healthcare and food programs, among other programs that people rely on.| Champaign County Health Care Consumers
Managing employee benefits can be especially challenging for small business owners—particularly when employees reach Medicare eligibility at age 65. Unlike larger organizations, small businesses often experience staffing changes that directly […] The post Medicare Considerations for Small Business Employers appeared first on OneDigital.| OneDigital
As more Americans choose to stay in the workforce beyond age 65, employers are increasingly navigating questions about Medicare eligibility, compliance, and cost implications. Whether you’re leading a small business […] The post What Employers Need to Know When Their Employees Become Medicare-Eligible appeared first on OneDigital.| OneDigital
A health care desert has emerged in Delaware County. There are currently only two hospitals, Riddle and Mercy Fitzgerald, operating […]| Broad + Liberty
He faced allegations that he violated both state and federal False Claim Acts from January 2016 through October 2020 by improperly billing Medicare and Connecticut Medicaid for services not rendered, the services of an unlicensed provider, and for upcoded or duplicative claims.| CT News Junkie
The Office of the Attending Physician gives politicians nearly unlimited medical care for about $54 a month.| The American Prospect
Are you aware that the government is taking money from your retirement fund?! You may have spent years putting money towards your retirement fund, with dreams like sailing around the world or spending the rest of your years in the countryside. Well, the government has other plans. If you are wondering why your retirement fund […] The post 5 Hidden Ways the Government Takes Money From Retirees appeared first on The Wealth Wire.| The Wealth Wire
August Recess Provides Opportunity for DCs to Meet, Talk to Representatives on H.R. 539, Senators on S. 106 Members of the U.S. House of Representatives will start their summer break early, July 25, and the Senate is slated to head home to their states starting Aug. 2. The start of the traditional summer recess comes [...]Read More...| ACA Today
Telehealth keeps Australians healthier and more connected, but outdated rules are keeping it out of reach for those who need it the most, say Flinders University […]| News
Since Congress passed the big tax and spending bill on July 3, most observers have focused their attention on its cuts to Medicaid, the program that helps support low-income older adults and people with disabilities. But the Trump Administration is quietly making big changes to Medicare, the program that insures nearly 70 million seniors and [...] The post What Older Adults Need To Know About Trump’s Changes To Medicare appeared first on Howard Gleckman.| Howard Gleckman
When Medicare approved MPK knees for K2 ambulators, the theory was that it would save Medicare money by reducing costly fall-related injuries. A new paper puts that theory to the test. The post Do MPKs Really Make K2 Amputees Safer? appeared first on Amplitude.| Amplitude
More than 400,000 seniors and medically fragile individuals in Pennsylvania rely on home care – but caregivers and nurses are leaving the industry at an| Home Health Care News
While the home health industry has been laser-focused on the Centers for Medicare and Medicaid Services (CMS) CY 2026 home health proposed rule rate cuts| Home Health Care News
Of course, this forecast, and every other one you read, may be wrong. AI image for “Social Security COLA.” Classic! Source: Perchance.org By David Enna, Tipswatch.com It’s July, a…| Treasury Inflation-Protected Securities
The proposed spending plan from the NC Senate would cut the entire funding allotment to the program for the next two fiscal years.| North Carolina Health News
The GAO released its in-depth study of amputees’ access to rehabilitation services and ongoing healthcare. The report provides a detailed snapshot of where and how the US health system fails to uphold amputees’ long-range health. The post GAO Report: How Well Does Medicare Serve Amputees? appeared first on Amplitude.| Amplitude
FOR IMMEDIATE RELEASE July 8, 2025 National Coalition Applauds Congressmembers for Introducing Bipartisan Legislation to Expand Access to Obesity Treatments Obesity Action Coalition Urges Congress to Pass the Treat and Reduce Obesity Act (H.R. 4231/S. 1973) to Address Outdated Policy Constraints & Expand Medicare Access to Innovative Treatments for Obesity Tampa, FL (July 8, Read Article The post Bipartisan Legislation Seeks to Expand Obesity Treatment Options appeared first on Obesity Act...| Obesity Action Coalition
Hospitals are shutting down, slashing programs, and laying off staff. And the worst parts of the spending law haven’t even hit yet.| The American Prospect
For the first time, required pre-authorizations are coming to traditional Medicare.| The American Prospect
The U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2025 home health final payment rule Friday. It comes with an estimated| Home Health Care News
On Monday, I moderated a HHCN+ TALKS episode – our exclusive opportunity for HHCN+ members to hear from and engage directly with leading experts in real| Home Health Care News
New data from the federal government found that only a slim majority of behavioral health providers are able to take on new patients covered by Medicare| Behavioral Health Business
This proposal allows Americans to opt out of promises made by long-dead legislators in favor of freedom and self-determination.| The American Mind
As the second Trump administration begins to reshape federal health care priorities, home-based care leaders are cautiously optimistic but sounding the| Home Health Care News
July 1, 2025 This is truly URGENT. Senate Republicans just passed the One Big Beautiful Bill Act (OBBBA), and it’s headed back to the House of Representatives for a final vote. Pick up the phone and make your voice heard in this critical window! The OBBBA will lead to over 17 million Americans losing their […]| Champaign County Health Care Consumers
June 30, 2025 This is URGENT. Late Saturday night, Senate Republicans narrowly passed a motion to proceed, allowing debate to begin on their version of the devastating reconciliation budget bill. While they cleared this first procedural hurdle, a number of Republican senators continue to voice concerns about the health sections of the bill that make […]| Champaign County Health Care Consumers
Two Republican senators are urging the Centers for Medicare and Medicaid Services (CMS) to “use full authority under law” to preserve the Medicare home| Home Health Care News
Find expert advice on health insurance for retirees living abroad, including how Medicare works overseas, expatriate coverage options, and policies for pre-existing conditions. Discover tips on how to select the best plan to ensure full protection during your retirement abroad. The post Insurance Advice for Retiring Abroad appeared first on International Citizens Insurance.| International Citizens Insurance
Your Social Security benefits may be subject to federal income taxes. But by being strategic about withdrawing money from other accounts, there are ways to keep taxes down.| CNBC
The Pacific Research Institute’s Center for Medical Economics and Innovation today released a new issue brief warning that continued federal underpayment of doctors is fueling a looming healthcare crisis by accelerating the nation’s physician shortage and undermining access to care. Written by PRI senior fellow in business and economics and CMEI director Dr. Wayne Winegarden, […]| Pacific Research Institute
June 11, 2025 We are facing a national crisis in health care. House Republicans recently passed their budget bill – the cartoonishly named “One Big Beautiful Bill” – by just one vote along party lines. There were no public hearings, and House members were not afforded time to read the bill before they chose to […]| Champaign County Health Care Consumers
In today’s The News-Gazette, you can see the Guest Commentary that I wrote about the House Republican’s Budget bill and the cuts to Medicaid and other health and food programs.| Champaign County Health Care Consumers
Many are shocked to find that Medicare doesn’t cover most types of long-term care, including Alzheimer’s & dementia care. Find out what Medicare does cover.| DailyCaring
In his latest column, KFF President and CEO Drew Altman examines the implications of Secretary Kennedy’s reorganization of HHS and why it’s a sharp break from past efforts to reorganize the department.| From Drew Altman Archive | KFF
Home-based care is increasingly delivered under Medicare Advantage (MA) plans, often squeezing providers with thin margins. Despite MA’s growing market| Home Health Care News
As Medicare Advantage (MA) continues its rapid rise, nonprofit home health care companies are grappling with unsustainable reimbursement rates, with some| Home Health Care News
May 22, 2025 The situation is dire.Early this morning, the U.S. House of Representatives passed the so-called “One Big Beautiful Bill” Act – the budget bill that includes a sweeping proposal that slashes billions of dollars from the Medicaid program and imposes dangerous new work requirements for Medicaid. If this is enacted, the bill will […]| Champaign County Health Care Consumers
A new Alzheimer’s treatment could cost Medicare billions of dollars by next year — well over Wall Street or even the drug’s manufacturer projections — according to a document obtained by STAT. 5.5 million people in the U.S. suffer from Alzheimer’s disease Declining general health is natural as one grows older. However, struggling with Alzheimer’s […] The post A New Alzheimer’s Treatment Could Cost Medicare Billions of Dollars by 2025 appeared first on Healthcare Weekly.| Healthcare Weekly
President Trump’s executive order aimed at lowering the prices of prescription drugs in the US is unlikely to reduce them very much at all. While Trump made his announcement with great fanfare, he has little or no power to make the changes he promises. Trump’s idea, which is similar to a plan he failed to [...] The post Trump’s Plan To Tie US Drug Prices To Foreign Countries Won’t Lower Costs appeared first on Howard Gleckman.| Howard Gleckman
While the US administration obsesses with pointing DOGE at relatively small levels of governmental expenditure in areas such as USAID and the Department of Education, when it comes to US healthcare, there are levels of cost inefficiencies and improved outcomes that could reach trillions of dollars if managed effectively.| Horses for Sources | No Boundaries
In February 1971, at the tail end of Richard Nixon’s first term, his Secretary of Health, Education and Welfare, Elliot Richardson, approved a directive| Health Industry Washington Watch
Unaffordable GP visits has become a pressing issue amid the increasing cost-of-living crisis. About| Aged Care Insite
The second Trump administration has issued a series of executive orders that bring significant changes to compliance requirements, funding allocations, and regulatory frameworks.| OneDigital
From the commentary, "... It's pretty naive to think that Trump cares about the people who put him in office. All he wanted was their votes. He got them."| West Central Tribune
Medicare disputes between payers and providers can disrupt the healthcare landscape. Here's how to navigate these disruptions effectively.| Media Logic
When a Medicare competitor exits the market, it can create a window for health plans to attract former members who are seeking coverage.| Media Logic
For women in the US, health insurance has come a very long way in the last decade, thanks in large part to the dramatic improvements and consumer protections brought about by Obamacare. This is particularly true in the individual market, where previous reforms and mandates had rarely applied.| healthinsurance.org
From Medicare insights to audience segmentation strategies, our top healthcare marketing blogs of 2024 highlight the industry's trends.| Media Logic
November 15, 2024| Media Logic
Can you switch from Medicare Advantage to Medigap with guaranteed-issue coverage if your Medicare Advantage plan terminates?| MedicareSupp.org
SHIBA’s workshop is planned 2-3 p.m. Thursday at the Orofino Senior Center, the Idaho Department of Insurance announced in a news release.| Idaho Capital Sun
This article is provided by SNA member Elizabeth Gray, CELA or McCandlish & Lillard in Fairfax, VA. Elizabeth focuses her practice on elder law and special needs law; trust, estate and guardianship disputes; and, wills, trusts and estates. This is an overview of the fundamentals of public benefits law, particularly focusing on Social Security’s need-based benefits| Special Needs Alliance
B2C brands are discovering the remarkable reach of social promotions.| Media Logic
Medicare Advantage is a version of Medicare run by private insurance companies. Many insurers are pulling their Medicare Advantage plans from counties and states they’ve deemed unprofitable, and now more than 1 million have to shop for new coverage.| Ohio Capital Journal
October 12, 2024 – Medicare’s annual open enrollment period (AEP) kicks off on October 15th. The special opportunity for millions of seniors only lasts through Dec. 7. During open enrollment, millions of Medicare participants have the opportunity to make changes to their coverage. This is especially important in 2024 because some plans are ending while The post 4 Biggest Mistakes To Avoid During Medicare’s Annual Enrollment Period appeared first on MedicareSupp.org.| MedicareSupp.org
Our Medicare Benefits consumer survey reveals takeaways that can help marketing strategies to improve member satisfaction and retention.| Media Logic
Learn how to avoid hospice Medicare scams, a type of fraud that targets vulnerable individuals and is costing taxpayers billions of dollars. The post How to Identify, Avoid, and Report Hospice Fraud appeared first on CaringInfo.| CaringInfo
Medigap Rate Increases can impact seniors. American Association for Medicare Supplement Insurance reports Medigap rate increases 2023 versus 2024. The post Medicare Supplement Insurance Rate Increases Vary According To New Analysis appeared first on MedicareSupp.org.| MedicareSupp.org
2024 Medicare Supplement Insurance (Plan G) Price Index Released The post 2024 Medigap Plan G Price Index Released appeared first on MedicareSupp.org.| MedicareSupp.org
MHA CEO Brian Peters focuses on how proposed site-neutral payment policies are the latest threat to patient access.| MHA | Michigan Health & Hospital Association
Weekly news and updates from the MHA.| MHA | Michigan Health & Hospital Association
We project the Cost of Living Adjustment (COLA) for Social Security benefits next year under different scenarios. Retirees are better off with a lower COLA.| The Finance Buff
It may seem like it’s always been a part of America, but Tuesday is Medicare’s 59th birthday. We should pause, celebrate its success and commit to stopping the corporations who are pilfering it for their own profits. Health care in the United States remains unaffordable and inaccessible despite costing Americans $4.7 trillion a year. Medical […]| Missouri Independent
With approximately 43 percent of all Americans using Medicare or Medicaid, the Centers for Medicare and Medicaid Services (CMS), part| Future Healthcare Today
Learn about the potential reimbursement limitations for botulinum toxin injections under Medicare. Act now, public comments accepted until July 13, 2024.| Dysphonia International
Aunque la dieta es el principal contribuyente a la muerte prematura por enfermedades cardíacas en Estados Unidos, menos de un cuarto de las personas que sufren eventos cardíacos importantes reciben asesoramiento dietético después del incidente, según un estudio.| Español
Our 2024 Outlook of Older Adults Survey delves into the perspectives, concerns and aspirations of seniors for the upcoming year.| Media Logic
2024 is sure to be a busy year in the Medicare market. Here are the major events on our radar and how payers can work around them.| Media Logic
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If you are looking whether or not medical alerts are covered by medicaid then you have come to the right place. Medicare does not cover the recurring charges of medical alert systems at this time, but in some states, Medicaid does. If you give us a call we would be more than happy to discuss...|
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Consumers are increasingly savvy about the potential risks around data collection. Learn more about how to balance data collection while keeping it secure in this blog.| Amsive
Greetings Acumen blog readers! I hope this note finds you safe and well in the midst of the chaos that surrounds us these days. I am a few days late with a Halloween-related post, but rest assured I will keep a promise I made many years ago and stay away from politics in this forum (try saying that with 280 characters!). While creating this post, I was struck by the fact that our first Acumen blog post hit the blogosphere in September of 2010. And while a decade is certainly a long time, our ...| Acumen Physician Solutions
The Affordable Care Act, often referred to as Obamacare, was enacted in 2010 with the goal of making healthcare more accessible and affordable for Americans. The ACA introduced several key provisio…| The Money Bill
The federal government is about to learn more about who really owns nursing homes, including private equity and REITs.| Howard Gleckman
Advice on global medical coverage for seniors considering retiring abroad. If you retire and move overseas, plan for you healthcare now.| International Citizens Insurance
You pay higher Medicare Part B and Part D premiums if your income exceeds certain thresholds. Here are the IRMAA income brackets for 2025, 2026, and 2027.| The Finance Buff
