News
Providers back bipartisan bill eliminating Medicare chronic care management cost sharing
1+ day, 3+ hour ago (194+ words) Dozens of provider and patient advocate associations are putting their weight behind a newly introduced bill they say will promote better management of Medicare patients with multiple chronic conditions." The bipartisan Chronic Care Management Improvement Act targets a copayment beneficiaries…...
CMS gives Medicare Advantage rates a 2. 48% bump for 2027 plan year in final rule
1+ week, 3+ day ago (674+ words) Following significant industry outcry against a proposal that would keep Medicare Advantage rates largely flat for 2027, the Trump administration has bumped payments up slightly in the final policy. The Centers for Medicare & Medicaid Services initially proposed a 0. 09% increase in rates…...
Insurance groups say proposed flat Medicare Advantage rates fail to meet the moment
1+ mon, 2+ week ago (773+ words) The Trump administration has proposed flat rates in Medicare Advantage (MA) for 2027, and insurers argue in new commentary that those levels do not reflect the realities of the program. In late January, the Centers for Medicare & Medicaid Services (CMS) released…...
Low pay rates for Medicare's ACCESS Model will pressure digital health margins: Capstone
1+ mon, 2+ week ago (642+ words) The health tech industry cheered when Medicare announced a new 10-year payment model to encourage the use of technology to treat chronic diseases. But, the lower-than-expected reimbursement rates introduce the risk of negative profit margins for model participants, according to…...
Claims for younger adults are on the rise: United Healthcare, HAC study
2+ mon, 3+ day ago (608+ words) While Generation Z and millennial workers still account for fewer claims than their baby boomer counterparts, claims in these populations are rising fast, according to a new report. United Healthcare and the Health Action Council (HAC) earlier this month released…...