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A service for healthcare industry professionals · Wednesday, April 9, 2025 · 801,526,519 Articles · 3+ Million Readers
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Medicare Reimbursements News Monitoring

  • Published on Apr 8, 2025

    What’s missing in conversations about physician reimbursements?

    Physician reimbursement is often at the heart of healthcare policy debates, yet key perspectives remain overlooked. Six physicians joined Becker’s to discuss what they believe is missing in conversations about physician reimbursements.  Editor’s note: …

    Source: Becker's ASC Review - Neutral
  • Published on Apr 8, 2025

    How to Address the Medicare Advantage Shift

    Medicare Advantage (MA) has become a dominant force in health care. For home health, hospice and palliative care organizations, adapting to its rapid growth isn’t optional—it’s essential. MA enrollment is projected to reach 60% of the eligible population …

    Source: Home Care - Label Pending
  • Published on Apr 8, 2025

    Trump’s CMS dramatically raises payments to Medicare Advantage plans

    Dive Brief: The Trump administration handed Medicare Advantage plans a massive gift on Monday, finalizing payment rates for 2026 significantly higher than what regulators in the Biden administration sketched out. The 5.1% benchmark increase should …

    Source: Healthcare Dive - Neutral
  • Published on Apr 8, 2025

    US Health Insurance Stocks Rally After $25 Billion Federal Boost To Medicare Payments

    Topline Health insurance stocks soared Tuesday morning on the first full day of trading after the U.S. government announced a more than 5% average increase in government reimbursement rates for 2026 Medicare Advantage plans run by private insurers. …

    Source: Forbes - Neutral
  • Published on Apr 8, 2025

    NJ Court Rules Medicare Set-Aside Funds Excluded from Workers’ Comp Attorney Fee Calculations

    A recent ruling concerning a workers’ compensation case in New Jersey reaffirmed that Medicare Set-Aside (MSA) funds should not be included in the calculation of attorney fees. The case involved a reopener application for a settlement stemming from an …

    Source: JD Supra - California - Neutral
  • Published on Apr 8, 2025

    US health insurers to welcome new, increased Medicare payment rates

    Medicare Advantage Rates are said to rise 5.06% in 2026 — double the initial proposal by the federal government. President Donald Trump seems to have given health insurers in the country a surprise in the guise of Medicare payment rates. The United States …

    Source: The American Bazaar - Center-left
  • Published on Apr 8, 2025

    Payers jump as 2026 Medicare payment rates exceed expectations

    HHS announced a 5.06% average increase in the government's final reimbursement rates for 2026 Medicare Advantage health plans run by private insurers, more than double the increase it proposed in January. The rate the U.S. government pays to private …

    Source: HealthLeaders - Tennessee - Label Pending
  • Published on Apr 8, 2025

    A Closer Look at Proposed Changes to Medicare Advantage in the “No UPCODE Act”

    On March 25, 2025, U.S. Senators Bill Cassidy, M.S. (R-LA) and Jeff Merkley (D-OR) introduced the No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act (the “Bill”). According to Senator Cassidy’s press release, the Bill aims to …

    Source: National Law Review - Neutral
  • Published on Apr 8, 2025

    Medical clinic accused of billing Medicare for unnecessary treatments

    Federal prosecutors allege a South Florida medical provider engaged in a sophisticated scheme to overbill Medicare. Story Highlights Vohra Wound Physicians and Dr. Ameet Vohra charged with Medicare fraud. Company allegedly billed for unnecessary or …

    Source: The Business Journals - Neutral
  • Published on Apr 8, 2025

    Phyllis Walker | Protect Social Security, Medicare

    As citizens, we must ensure that income and medical benefits for our elderly and disabled provided by Social Security Administration, Medicare and Medi-Cal continue to be available for all in our country.  In a devastating move, Congress did not intervene …

    Source: The Santa Clarita Valley Signal - California - Label Pending
  • Published on Apr 8, 2025

    Health insurance stocks rise on 'best case scenario' Medicare payment rates

    (Reuters) -Shares of U.S. health insurers jumped on Tuesday after a bigger-than-expected increase in the government's reimbursement rates for Medicare Advantage plans in 2026, bringing some relief to a sector burdened with elevated medical costs. The 5 …

    Source: The Gazette - Colorado - Neutral
  • Published on Apr 8, 2025

    Health insurance stocks rise on favorable Medicare payment rates

    (Reuters) -Shares of U.S. health insurers jumped on Tuesday after a bigger-than-expected increase in the government's reimbursement rates for Medicare Advantage plans in 2026, bringing some relief to a sector burdened with elevated medical costs. …

    Source: Yahoo Finance - Label Pending
  • Published on Apr 8, 2025

    Why UnitedHealth’s $2.1B Case Could Reshape Medicare Forever

    UnitedHealth’s Medicare Advantage Legal Battle Intensifies UnitedHealth Group, a titan of the healthcare industry, is involved in a high-stakes legal fight over allegations of upcoding within its Medicare Advantage program. At the heart of this controversy …

    Source: Live Insurance News - Neutral
  • Published on Apr 7, 2025

    Medicare Won't Cover Weight-Loss Drugs

    The Centers for Medicare and Medicaid Services recently announced—without explanation—that it would not proceed with a proposal initiated by the Biden Administration to cover weight-loss drugs like Wegovy and Zepbound for its beneficiaries. Medicare and …

    Source: TIME Magazine - Center-left
  • Published on Apr 8, 2025

    U.S. boosts Medicare payments to insurers by over $25 billion

    The U.S. government will pay private Medicare Advantage plans more money next year than it originally proposed in January, a major win for insurance companies that have faced increasing scrutiny in Washington. The shares of insurers surged on the decision. …

    Source: Pittsburgh Tribune Review - Pennsylvania - Neutral
  • Published on Apr 8, 2025

    Medicare Advantage Plans’ Coding Discrepancies Result in $33 Billion Windfall for Insurers

    Excess Revenue in Medicare Advantage: The Economic Implications of Differential Coding The United States healthcare system is a complex web of regulations, policies, and economic incentives, particularly when it comes to Medicare Advantage (MA) plans. A …

    Source: Bioengineer.org - Label Pending
  • Published on Apr 7, 2025

    US health insurers jump as 2026 Medicare payment rates exceed expectations

    Audio By Carbonatix (Reuters) -The U.S. announced a 5.06% average increase in the government’s final reimbursement rates for 2026 Medicare Advantage health plans run by private insurers, more than double the increase it proposed in January. The Centers for …

    Source: SRN News - Label Pending
  • Published on Apr 7, 2025

    US releases final Medicare payment rates for 2026

    (Reuters) -The U.S. Centers for Medicare & Medicaid Services on Monday announced a 5.06% increase in the government's final reimbursement rates for 2026 Medicare Advantage health plans run by private insurers, compared with a decline of 0.2% last …

    Source: The Gazette - Colorado - Neutral
  • Published on Apr 7, 2025

    Lagging reimbursement rates threaten U.S. emergency care

    Falling reimbursement rates, increases in uncompensated care and claim denials are putting the "viability of hospital-based emergency care in the United States is at risk," according to a new RAND report.  The report supported by the Emergency …

    Source: mHealthIntelligence - Neutral

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