1+ day, 23+ hour ago   (370+ words) Edward M. Fidalgo, MD On June 24, 2026, the CMS released updated national health expenditure projections that indicate sustained growth in demand for physician care. Their estimate creates yet another cause for concern, given the industry’s uneven progress in retaining physicians. These challenges…...

2+ day, 9+ 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…...

4+ day, 11+ hour ago   (124+ words) einpresswire.com There were 1,829 press releases posted in the last 24 hours and 486,728 in the last 365 days. 3X Amazon Bestselling Author Chase Gruening Reveals the Growth Sequence Behind Scalable Medicare Agencies More Revenue. More Leads. More People. outlines a three-stage approach to…...

1+ week, 16+ hour ago   (788+ words) Something unusual is happening in Southwest Florida health care. Lee Health says that beginning Jan. 1, its hospitals and physicians will be out of network for affected UnitedHealthcare Medicare Advantage plans. Forty miles south, Naples Comprehensive Health is making almost the…...

1+ week, 2+ day ago   (214+ words) CMS first introduced the Merit-based Incentive Payment System in 2017, seeking to link physician reimbursement to performance. Under MIPS, providers receive a composite final score that determines an upward, neutral or downward adjustment to their payments. However, CMS is now moving…...

1+ week, 4+ day ago   (321+ words) Bridging the gap between ICHRA and Medicare: Two industry leaders combine tax-free health allowances and zero-cost advocacy to combat rising healthcare costs for the aging workforce. KANSAS CITY, Mo. and SEATTLE, Sept. 1, 2026 /PRNewswire/ -- SmartConnect and Benepicks today announced a nationwide…...

1+ week, 4+ day ago   (743+ words) Many insurers are reassessing their Medicare offerings amid financial pressures. Medicare Advantage plans help millions of seniors save money in retirement, but after a collapsed negotiation, some seniors may need to find new plans for 2027. Providence Health Plan had been…...

1+ week, 5+ day ago   (836+ words) Another year of shakeups for your plan is in the works. If you have a Medicare Advantage plan that worked well this year, the bad news is it's unlikely to look the same in 2027. Humana confirmed it's pulling back from…...

1+ week, 6+ day ago   (746+ words) His insurance card kept working after the layoff, the pharmacy kept filling his prescriptions, and the claims kept clearing. But somewhere in that seamless coverage, a Medicare deadline quietly started counting down. A union tradesman in his late sixties receives…...

2+ week, 3+ day ago   (400+ words) New legislation passed in Connecticut earlier this summer granted optometrists (ODs) Medicaid payment parity with ophthalmology for a significant portion of their eye health and vision care services. Since Medicaid operates at both the federal and state levels, reimbursement rates…...