Telehealth services remain accessible from any location in the U.S., including your home, through the end of 2024. After this period, most telehealth services will require you to be at a medical facility located in a rural area, though exceptions exist for mental health services. Chronic Pain...
Medicare Advantage plans typically operate under a managed care model, which means they have networks of doctors, hospitals, and other healthcare providers. By enrolling in a Medicare Advantage plan, you’ll need to receive care from providers within the plan’s network or pay higher out-of-poc...
The Centers for Medicare & Medicaid Services (CMS) is projecting the Medicare trust fund will run out of money in 2031,16,” McKinsey, January 25, 2024. although investors continue to pour billions into acquisitions of payers, care delivery partners, and related healthcare services and ...
November 26, 2024 • 17 min read • Written by Carly Plemons Back Summary: Medicare Advantage offers broader coverage including prescription drugs and dental care, while Medicare Supplement focuses on covering most out-of-pocket costs. Medicare Advantage plans are managed by private insurers with...
March 21, 2024Michael Townsend For nearly everyone, part of every paycheck you earn goes straight to Medicare. It’s a big and confusing investment that needs to be managed wisely—but when and how do you start? TranscriptOpen new window ...
Manual Enrollment in Medicare Parts A and B In some cases, you may need to manually sign up for Medicare Part A. For example, if you are not already receiving Social Security benefits, or if you have end-stage renal disease (ESRD), you may be eligible for Medicare Part A, but you wi...
ByAmy Stulick|June 5, 2024 Managed care’s growth across all health care settings, including nursing homes, has pushed reimbursement rates lower, and operators are implementing strategies to counter the situation. For starters, operators expressed the need to be well equipped for negotiating better...
Holland & Knight LLPon12/27/2024 Holland & Knight Health Dose is an in-depth weekly dose of legislative and regulatory insights to keep stakeholders abreast of happenings in Washington, D.C., impacting the health sector...more The CMS Managed Care Final Rule: Access Standards, Consumer Surveys...
CMS, Medicare Part D Prescription Drug Manual, Chapter 13, “Premium and Cost-Sharing Subsidies for Low-Income Individuals,” Section 50.2.1, Rev. October 1, 2018, at https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Downloads/Chapter-13-...
“The lack of transparency in Medicare Advantage managed care plans deprives patients of important information that helps them make informed decisions," said HHS Secretary Xavier Becerra in a statemnet. "It deprives researchers and doctors of critical data to evaluate problems and trends in patient...