1+ week, 2+ day ago   (243+ words) Written by Joe Ganley, Vice President of Government and Regulatory Affairs, athenahealth That is the quiet math of American healthcare in 2026. CMS — the agency that runs Medicare — keeps saying it wants more care delivered in community-based settings, and its recent…...

1+ week, 5+ day ago   (234+ words) Walk into an American hospital at nine o’clock at night and you'll find someone still working who has no business being there. Not in the operating room. Not in the ED. At a keyboard. A physician finishing the notes she…...

1+ week, 5+ day ago   (696+ words) One of Medicare’s most puzzling rules has nothing to do with the care patients receive. For many routine outpatient services, it pays substantially more when care is delivered in a hospital-owned facility than when the exact same service is performed…...

1+ week, 5+ day ago   (617+ words) The once-stodgy, boring Medicare program experienced many changes over the last few years. More changes were announced in the last few weeks. A major change is that beginning July 1, Medicare covers prescriptions for GLP-1 drugs for $50 per month under Part…...

1+ week, 5+ day ago   (159+ words) This week’s Elevance Health and UnitedHealth Group quarterly earnings are much anticipated for signs these companies’ health insurance businesses and that of their rivals are keeping a handle on rising costs. Elevance, which owns Blue Cross and Blue Shield plans…...

2+ week, 2+ day ago   (344+ words) There is currently no annual limit on what a beneficiary enrolled in traditional Medicare can owe out-of-pocket for hospital stays and physician-administered services and technologies. A number of Senate Democrats want to change this. They’ve introduced a bill that would…...

2+ week, 3+ day ago   (359+ words) One of the most important practical distinctions is between IRAs and employer-sponsored retirement plans, because the process differs depending on which type of account is involved. The rules for employer-sponsored plans are stricter but are not covered in this article....

2+ week, 4+ day ago   (281+ words) Health insurers selling individual coverage under the Affordable Care Act, also known as Obamacare, are proposing another year of double-digit percentage premium increases for 2027, a new KFF analysis shows. A snapshot of rate filings with regulators in 16 states and Washington,…...

3+ week, 4+ day ago   (549+ words) Ramya Ganti is the founder and CEO of Oprox, a VC-backed AI-native revenue intelligence platform for healthcare providers. Every day, physicians make treatment decisions that cannot move forward until an insurer approves them. That approval process, known as prior authorization,…...

1+ mon, 13+ hour ago   (786+ words) The Benefits of Fully Integrated Medical and Long-Term Care For Older Adults Participants in a relatively small program that fully integrates medical care with a broad range of personal care and other services were less likely to need to visit…...