Could we see a “two-tier” Medicare program?
Did you know that there are roughly 67 million Medicare patients, and 54 percent of them are in a Medicare
Read More
medicare
Lawmakers question adding prior authorization for traditional Medicare services
(By: Andrew Cass for Becker’s Hospital Review) A group of House Democrats is seeking answers from CMS Administrator Mehmet Oz,
Read MoreMedicare billing surprises
Around your 65th birthday, you will have a 7-month window of time when you can sign up for Medicare. It
Read MoreMedicare Part B Drug Payments: Impact of Price Substitutions Based on 2023 Average Sales Prices
(Source – oig.hhs.gov) Medicare Part B annually spends billions of dollars to cover a limited number of outpatient prescription drugs.
Read MoreThe next step in preventing fraud
In recent weeks, the Centers for Medicare & Medicaid Services (CMS) announced that the “Fraud Takedown” resulted in the prosecution
Read MoreImplementation Dates for 2025 Budget Reconciliation Law
(Source – The Kaiser Family Foundation published August 4, 2025) On July 4, President Trump signed the budget reconciliation bill,
Read MorePCPs leave Medicare at faster rates than specialists: 4 study notes
(By: Mariah Taylor for Becker’s Hospital Review) Primary care physicians are leaving fee-for-service Medicare programs faster than specialists, according to
Read MoreMedicare Advantage in 2025: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization
(By Nancy Ochieng, Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jul
Read MoreMedicare Advantage in 2025: Enrollment Update and Key Trends
(By Nancy Ochieng, Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jul
Read MoreThe Prompt and Fair Pay Act
The Prompt and Fair Pay Act (H.R. 4559) was introduced to Congress last week. This bipartisan legislation addresses concerns regarding
Read More