Most Medicare Advantage Enrollees Face Limited Plan Choices in Concentrated Markets
A new KFF study shows most Medicare Advantage beneficiaries are in highly concentrated markets with limited insurer options, leaving little consumer choice.
Medicare
CMS Proposes 6.4% Cut to Medicare Home Health Payments for 2026
CMS proposes a 6.4% reduction in Medicare payments to home health agencies for 2026, raising concerns about access to care and financial stability in the sector.
Unplanned Long-Term Care Costs Threaten U.S. Retirement Security
New analysis warns that long-term care expenses pose serious risks to retirement security, particularly for single women and Baby Boomers.
What’s Next for the Medicare Shared Savings Program?
Learn about the finalized rule from CMS and how it impacts the Medicare Shared Savings Program (MSSP). From prepaid savings to Health Equity Benchmark Adjustment, we discuss it all here.
Uncertainty in Home Health Care with CMS ‘Overpayment’ Clawbacks Looming
Home health providers face uncertainty as CMS clawbacks loom, with billions in potential repayments impacting the industry’s financial stability.
The Results Are In – Medicare Shared Savings Program ACOs Are Reducing Costs and Improving Care
Discover how the Medicare Shared Savings Program (MSSP) is generating significant savings while improving care quality. Learn about recent results and the program’s benefits for patients and providers.
CMS Expands AHEAD Model to Include New York and Rhode Island
CMS announces the addition of Rhode Island and parts of New York to the AHEAD Model, expanding efforts to improve healthcare outcomes and manage spending across six states.
Medicare Shared Savings Program Reports $2.1 Billion in Savings for 2023
The Centers for Medicare & Medicaid Services (CMS) has announced a 0.5% increase in home health payments for 2025 alongside deeper permanent cuts, sparking debate among healthcare providers.
Medicare Shared Savings Program Reports $2.1 Billion in Savings for 2023
The Medicare Shared Savings Program achieved its highest-ever savings in 2023, with more than $2.1 billion saved and significant improvements in healthcare quality.
CMS Enhances Accountable Care Organization Landscape in 2024
Discover how CMS’s new Medicaid payment model, the IBH Model, aims to enhance care coordination and improve health outcomes for Medicare and Medicaid beneficiaries with mental health conditions and SUDs.