Eligibility, parts A‑D, Advantage, dual eligibility, and state program changes.
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Dozens of medical providers have struggled to stay afloat since more than $65 million dollars for the Title X family planning program was withheld on April 1. 04/22/2025 10:34 AM EDT Clinics around the country that provide contraception and other reproductive health services to…
The Centers for Medicare & Medicaid Services penalized 22 of the state’s 26 eligible acute-care hospitals through its Hospital Readmissions Reduction Program. Yale New Haven Health's Lawrence + Memorial Hospital in New London had the highest penalty for readmissions among Connecticut hospitals, at 1.69%. Most…
Employers know exactly what their health plan costs. What they usually don’t know is what it costs them when an employee needs care and doesn’t get it because a credit check got in the way of the bill. That happens…
Presented by AJMC and Pharmacy Times Population Health, Equity & Outcomes Considerable attention has been devoted to managing populations around the value proposition. Children, as a population, have received little attention in the accountable care organization (ACO) realm. This manuscript contrasts…
Presented by AJMC and Pharmacy Times Population Health, Equity & Outcomes Disease management programs for diabetes care based on bundled payment did not slow down the cost growth. Multimorbid adult patients with diabetes had largest cost growth. Objectives: In the Netherlands,…
Presented by AJMC and Pharmacy Times Population Health, Equity & Outcomes Academic medical centers should strongly consider partnering with community hospitals and independent primary care physicians to achieve success in the Medicare Shared Savings Program. Structure of AMC-Affiliated ACOs (academic ACOs)…
Cost of hospital services Cost of prescription medicines As candidates make their case ahead of the 2026 midterm elections, the first-ever Voters for Cures/Morning Consult poll sends a clear message: voters are most concerned about rising health insurance costs. Nearly…
Learn how long-term care insurance covers in-home care, including ADL benefit triggers, 90-day elimination periods, daily payout caps and filing steps. This article is based on reporting that features expert sources. Does Long-Term Care Cover Home Care? If you plan…
Florida leads the nation in total Medicare Advantage plan discontinuations for 2027, dropping 8.7% from 611 plan offerings to 560 as insurers pull out of underperforming counties. Medicare Advantage plans are shrinking their footprint across the Sunshine State in 2027, forcing returning enrollees to re-examine…
A provision of the summer’s One Big Beautiful Bill Act bumping a slew of orphan drugs from Medicare price negotiation is estimated to cost the program $8.8 billion over the course of a decade, according to a revised estimate from the…