Medicare
publication date
Revenue Cycle
What Does Slowed MA Growth Mean for Rev Cycle Leaders?
Medicare Advantage enrollment grew at 3.9% last year despite market conditions unfavorable to payers.
Innovation
New Study: RPM Reimbursement Needs a Reset
CMS spent almost $200 million on remote patient monitoring in 2023, and more providers are embracing the technology to track...
Innovation
A Path for AI ROI? Lawmakers Float Bill for Medicare Reimbursement
Two U.S. Senators have co-sponsored a bill that would create a better pathway for Medicare coverage of FDA-approved AI tools...
Revenue Cycle
Infographic: A Quick Guide to the Reducing Medically Unnecessary Delays in Care Act of 2025
The House of Representatives is considering legislation that would reform the way payers use prior authorization. Which payers would the...
Payer
Medicare Advantage: Why Members and Plans Paid More
Cost shares have as much as doubled as plans get a payment rate hike.
Revenue Cycle
Congress Considers Legislation to Restrict Prior Authorizations
A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of prior...
Payer
8 Targets of Trump's Second-Term Healthcare Agenda
A 'dizzying array' of actions in the first seven weeks of President Donald Trump's second term.
CFO
Highmark Health Sees Revenue Growth, $200M Operating Loss
Industry-wide medical trend pressures contributed to Highmark?s 2024 losses.
Payer
Does Our Healthcare System Support Healthy Aging?
Aetna?s Medicare CMO outlines the potential of Medicare Advantage ?to keep people happy, healthy and at home.?
Innovation
Another Reprieve? Proposed Budget Bill Includes Telehealth, HaH Extensions
A continuing resolution now before Congress would extend pandemic-era telehealth and Hospital at Home waivers for six months.
Payer
Home Improvements Can Help People Age Independently. But Medicare Seldom Picks Up the Bill.
It's unclear how the Trump administration will approach senior care.
Payer
R.I.P. VBID. Is Medicare Advantage Alone or Will it Go Beyond?
What's next when policy can't fix what policy created?