2+ week, 1+ day ago  (442+ words) Tammy Hawes is VP, Payer Credentialing and Compliancy at Health Stream, following the acquisition of Virsys12 in October 2025. This is not because the costs are small. It is because they are distributed, spread across credentialing operations, compliance functions, IT infrastructure and…...

1+ mon, 2+ week ago  (105+ words) Trump administration is considering auto-enrollment for Medicare enrollees in Medicare Advantage. This suggests a preference for the program over traditional Medicare....

3+ week, 13+ hour ago  (401+ words) And while Medicare Advantage plans offer low or even zero premium enrollment fees, their budget-conscious, profit-driven model places limits on choices of doctors and hospitals as well as much more frequent use of prior authorization that can restrict patient access…...

1+ mon, 2+ day ago  (979+ words) A group of influential policy experts has designed a universal home care benefit for people with physical and cognitive limitations. In a major change from the existing system in the US, where government-funded long-term care is primarily a Medicaid benefit,…...

1+ mon, 3+ day ago  (372+ words) Mark Cuban's Cost Plus Drug Company and Humana's Center Well Pharmacy Monday confirmed they have formed a partnership "to develop new end-to-end employer prescription solutions." Talk of such a partnership first became public last December at the annual Forbes Healthcare…...

1+ mon, 5+ day ago  (523+ words) Medicare Part B premiums could rise to about $5, 000 annually per beneficiary in 2035, according to a recent report from the Joint Economic Committee of the United States Congress. The base annual Part B premium is $2, 434 in 2026 ($202. 90 per month). Some beneficiaries pay…...

1+ mon, 4+ week ago  (252+ words) By Richard Menger MD MPA, Running a private practice today means juggling skyrocketing costs for staff, malpractice insurance, and cutting-edge technology while watching reimbursements erode year after year. The result? More doctors are forced to sell their practices to hospitals…...

10+ mon, 1+ week ago  (628+ words) Over half of Medicare beneficiaries opted for Medicare Advantage plans in 2024, and the percentage is expected to climb to 60% by 2030, according to the Kaiser Family Foundation. Medicare beneficiaries can choose between Medicare Advantage plans (also known as Part C) and original…...

4+ mon, 3+ day ago  (351+ words) However, "worry" is not a strategy! The best way to deal with this concern is to inform yourself and make smart choices to address your fears. Let's look at five mistakes that pre-retirees and retirees often make about health care…...

4+ mon, 3+ day ago  (163+ words) Shares of top health insurance firms fell sharply in premarket trading Tuesday morning, after the Trump administration issued a proposal that would keep Medicare payment rates flat in 2027, falling short of Wall Street expectations. In premarket trading, United Health Group's…...