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News
How Medical Denial Management Actually Works (And Why Most Practices Get It Wrong)
15+ hour, 54+ min ago (31+ words) Claim denials cost healthcare practices more than most providers realize — not just in lost revenue, but in staff …...
Cardiology Societies Back Expanded Medicare Coverage for Valve Replacement
1+ day, 8+ hour ago (893+ words) In a significant moment for structural heart medicine, three of the world’s leading cardiovascular organizations have come together to endorse a major shift in how Medicare covers one of the most transformative cardiac procedures of the past two decades....
Health Insurance Now Launches Year-Round Enrollment for Private Health Insurance Coverage
2+ day, 6+ hour ago (351+ words) Health Insurance Now has opened year-round enrollment for private health insurance plans, giving eligible individuals and families access to coverage outside the annual Open Enrollment period. Boca Raton, Florida--(Newsfile Corp. - September 10, 2026) - Health Insurance Now has opened year-round enrollment for…...
Guest Commentary | ‘Prior authorization’ remains a pain point for physicians, patients
2+ day, 10+ hour ago (382+ words) Physicians devote the early part of their careers to education and training. They spend years honing and refining their clinical skills through medical school, internships, residencies and fellowships. Finally, they are ready and eager to step out on their own…...
Harbin, Cleland, retirees not keen on Medicare Advantage mandate
2+ day, 13+ hour ago (261+ words) An audience of Cortland County employees, retirees and members of the public gathered for Tuesday’s Committee of the Whole meeting. CORTLAND — After presentations on an anticipated mandated shift for county retirees to Medicare Advantage plans, legislators and retirees voiced increased…...
Confronting Higher Acuity And The Intake Clock In Home-Based Care
2+ day, 14+ hour ago (900+ words) As the center of health care has increasingly moved into the home, home-based care services have become more complex. Home-based care providers shared the ways that their strategies, challenges and opportunities are evolving amid this growing complexity at HHCN’s FUTURE…...
CMS Is Targeting Unauthorized Health Insurance Enrollments—Here’s What Consumers Should Check
2+ day, 18+ hour ago (566+ words) Editor’s Note: This article concerns Affordable Care Act Marketplace coverage, not Medicare plan enrollment. That’s significant because CMS says Enhanced Direct Enrollment platforms accounted for approximately 76% of active plan selections during 2026 Open Enrollment. The additional protection is intended to make…...
Medicaid Risk Contracts in New ACO LEAD Model
2+ day, 18+ hour ago (223+ words) Integrated care programs for dual-eligible beneficiaries, including ACO LEAD, aim to incentivize efficient care delivery while preventing unintended cost shifting between Medicare and Medicaid. How LEAD calculates shared savings and losses will be central to achieving both goals. First, a…...
The Case for ‘Medicare at Cost’
3+ day, 3+ hour ago (19+ words) Governing Internet Explorer 11 is not supported The Case for ‘Medicare at Cost’...
A “Win-Win-Win”: The Case for Federalizing Medicare Support for Low-Income Seniors
3+ day, 15+ hour ago (123+ words) The Century Foundation The Century Foundation A new Milbank States of Health blog by TCF staff describes a reform idea that would help both low-income Medicare beneficiaries and state Medicaid programs. It would shift the responsibility for payment of Medicare…...