CMS Finalizes Payment Rule, Including Update to the Custody Definition
November 7, 2024
Medicare payment rules prohibit coverage for a service if a beneficiary is not financially responsible for the care or if
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Healthcare.gov Now Open for 2025 ACA Plan Shopping
November 7, 2024
Now is the time for people who need health insurance in 2025 to shop for coverage. For those without employer,
Watchdog Estimates $7.5 Billion Medicare Advantage Overpayment from “Questionable” Health Risk Assessments
October 31, 2024
When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
KFF Examines Medicaid Eligibility Pathways for Dually Eligible Individuals
October 31, 2024
For the nearly 13 million people enrolled in both Medicare and Medicaid—known as dual eligible individuals—Medicare is their primary insurer. It
Millions See Cost Savings Under the Inflation Reduction Act
October 24, 2024
The Inflation Reduction Act (IRA) made significant improvements to Medicare prescription drug access and affordability, including by restructuring the Part
Medicare Advantage Offerings Stable as Overpayments Continue
October 24, 2024
This month, Families USA hosted an important webinar on Medicare Advantage (MA) issues, including overpayment, marketing abuses, and delays caused
Comparing Plans is Especially Important This Open Enrollment Season Due to Changes in Part D Protections and New Options
October 17, 2024
Key components of the Inflation Reduction Act’s Part D reforms will be fully implemented for plans offered in 2025. These
Final Rule Codifies Observation Stay Appeal Rights
October 17, 2024
Late last week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that codifies appeal rights for people
Medicare Rights Supports Expansion of Medicare Home Health to Allow Beneficiaries to Age in Place
October 10, 2024
Earlier this week, Vice President Harris announced a new proposal that would expand in-home services for people with Medicare. Many people with Medicare struggle with activities of daily living like bathing, dressing, eating, or toileting but do not need intensive medical care.
Changes in Drug Coverage Coming in 2025 Could Influence Your Choice of Plan
October 10, 2024
Medicare open enrollment is just around the corner, and there will be major changes in 2025 that beneficiaries should keep in mind, and some of these changes may affect what plans people choose.
CMS Finalizes Payment Rule, Including Update to the Custody Definition
November 7, 2024
Medicare payment rules prohibit coverage for a service if a beneficiary is not financially responsible for the care or if
Healthcare.gov Now Open for 2025 ACA Plan Shopping
November 7, 2024
Now is the time for people who need health insurance in 2025 to shop for coverage. For those without employer,
Watchdog Estimates $7.5 Billion Medicare Advantage Overpayment from “Questionable” Health Risk Assessments
October 31, 2024
When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
KFF Examines Medicaid Eligibility Pathways for Dually Eligible Individuals
October 31, 2024
For the nearly 13 million people enrolled in both Medicare and Medicaid—known as dual eligible individuals—Medicare is their primary insurer. It
Millions See Cost Savings Under the Inflation Reduction Act
October 24, 2024
The Inflation Reduction Act (IRA) made significant improvements to Medicare prescription drug access and affordability, including by restructuring the Part
Medicare Advantage Offerings Stable as Overpayments Continue
October 24, 2024
This month, Families USA hosted an important webinar on Medicare Advantage (MA) issues, including overpayment, marketing abuses, and delays caused
Comparing Plans is Especially Important This Open Enrollment Season Due to Changes in Part D Protections and New Options
October 17, 2024
Key components of the Inflation Reduction Act’s Part D reforms will be fully implemented for plans offered in 2025. These
Final Rule Codifies Observation Stay Appeal Rights
October 17, 2024
Late last week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that codifies appeal rights for people
Medicare Rights Supports Expansion of Medicare Home Health to Allow Beneficiaries to Age in Place
October 10, 2024
Earlier this week, Vice President Harris announced a new proposal that would expand in-home services for people with Medicare. Many people with Medicare struggle with activities of daily living like bathing, dressing, eating, or toileting but do not need intensive medical care.
Changes in Drug Coverage Coming in 2025 Could Influence Your Choice of Plan
October 10, 2024
Medicare open enrollment is just around the corner, and there will be major changes in 2025 that beneficiaries should keep in mind, and some of these changes may affect what plans people choose.