Healthcare IT Today

APRIL 4, 2025

Translation of member materials is an onerous burden for Medicare Advantage Organizations (MAOs). For Dual Special Needs Plans (DSNPs), compliance is even more complex as they must meet both Medicare and Medicaid translation requirements, supporting as many as 24 languages in some states.

Medicare 84

Medicare Healthcare IT Leadership Health IT 84

Mobi Health News

OCTOBER 13, 2022

From hospital closures to physician shortages, provider scarcity is a big challenge when it comes to expanding Medicare Advantage in rural communities.

Medicare 259

Medicare 259

Electronic Health Reporter

DECEMBER 18, 2024

By Don Rucker, MD, chief strategy officer, 1up Health Medicare Advantage is a capitated health plan and the government, which pays for the plan, needs massive amounts of performance data to ensure that plans do […] The article How is Medicare Advantage Policy Forcing Changes in Payer Tech Stacks? Illegal copying is prohibited.

Medicare 91

Medicare 91

Mobi Health News

APRIL 11, 2025

The Health Tech Investment Act would establish a reimbursement pathway for FDA-cleared AI-enabled medical devices.

Medicare 280

Medicare 280

Health Populi

JUNE 17, 2024

You would assume that most people over 50 would be worried about the financial future of Medicare to cover health care as those middle-aged Americans age. The most cost-secure are people over 65 (read: Medicare-secure, among two-thirds) and younger people 18 to 29 (6 of whom lack confidence to pay for health care as they age).

Medicare 177

Medicare Mental health 177

Health Populi

JUNE 5, 2022

In 2006 the Medicare Part D program was implemented, covering older Americans for prescription drugs for the first time. Medicare further drove expansion of generic drug utilization, with co-pays for generics lower for Medicare enrollees than branded drugs. While these four actions to lower drug costs garner over 80% of U.S.

Medicare 385

Medicare Health Policy Pharmaceuticals 385

Mobi Health News

SEPTEMBER 2, 2020

The updated version of the company's system includes automatic alerts when the wearer's glucose is too high or too low.

Medicare 319

Medicare 319

Mobi Health News

JANUARY 2, 2024

The funds come two years after the company scored a $1.15 billion investment.

Medicare 304

Medicare 304

Mobi Health News

SEPTEMBER 13, 2022

The tech giant also announces a partnership between YouTube and the Kaiser Family Foundation that aims to help organizations create high-quality informational content on topics like mental health, maternal care and health inequity.

Medicare 297

Medicare Mental health 297

Mobi Health News

FEBRUARY 25, 2020

The study will use the smartphones, Apple Watches and a custom health engagement program to influence stroke risk and atrial fibrillation detection.

Medicare 349

Medicare 349

Healthcare IT News - Telehealth

JUNE 19, 2023

Over the last few years, Medicare Advantage plans have dramatically increased their deployment of telehealth systems for seniors. While some in the healthcare industry may be skeptical of telehealth’s utilization, particularly within the Medicare population, these plans continue to move full steam ahead.

Medicare 172

Medicare Telemedicine Primary Care Mental health 172

Healthcare IT Today

NOVEMBER 26, 2024

The following is a guest article by Andrew Mignatti, Co-Founder and CEO at careviso As Medicare annual open enrollment is underway, healthcare providers soon face the overwhelming task of verifying benefits for millions of patients.

Medicare 54

Medicare Interoperability Patient Experience healthcare technology 54

Mobi Health News

AUGUST 10, 2020

More than 60% of Medicare-eligible seniors say they’ve embraced technology more during the pandemic, according to a new survey from healthinsurance.com.

Medicare 363

Medicare Telehealth 363

FierceHealthIT

DECEMBER 16, 2024

Medicare Advantage has steadily grown over the past decade, and now encompasses more than half of all seniors eligible for Medicare. Medicare Advantage has steadily grown over the past decade, and now encompasses more than half of all seniors eligible for Medicare.

Medicare 126

Medicare 126

FierceHealthIT

AUGUST 15, 2024

The Centers for Medicare & Medicaid Services offered the first look at the potential savings generated by the first crop of Medicare drug price negotiations. | The Centers for Medicare & Medicaid Services offered the first look at the potential savings generated by the first crop of Medicare drug price negotiations.

Medicare 135

Medicare 135

BHM Healthcare Solutions

DECEMBER 12, 2024

The post Medicare and Medicaid Updates for 2026 appeared first on BHM Healthcare Solutions.

Medicare 52

Medicare 52

FierceHealthIT

NOVEMBER 26, 2024

The Centers for Medicare & Medicaid Services (CMS) is attempting to cover anti-obesity medications under Medicare Part D and Medicaid, the agency announced Nov.

Medicare 128

Medicare 128

FierceHealthIT

AUGUST 13, 2024

Fifty-four percent of Medicare beneficiaries are enrolled in a private Medicare Advantage plan, and in seven states that figure tops 60%, according to a new report from KFF.

Medicare 130

Medicare 130

FierceHealthIT

SEPTEMBER 4, 2024

Humana reaffirmed its full-year guidance but is leaving 13 Medicare Advantage (MA) markets next year, Chief Financial Officer Susan Diamond said during the Wells Fargo Healthcare Conference on Wedn | Humana is pulling back from Medicare Advantage markets and cutting benefits next year.

Medicare 126

Medicare 126

FierceHealthIT

APRIL 1, 2024

Insurers will feel resentful Monday as the feds opted to not reverse its decision to decrease Medicare Advantage benchmark payments by 0.16%, the Centers for Medicare and Medicaid announced. | CMS is not deviating from its January proposal to modestly rein in Medicare Advantage.

Medicare 143

Medicare 143

Healthcare IT News - Telehealth

FEBRUARY 22, 2024

Brightside Health will be entering into new and expanded payer partnerships to support telemental healthcare access through Medicare and Medicaid, teaming with companies such as Blue Shield of California, CareOregon and Centene.

Medicare 154

Medicare 154

Mobi Health News

JUNE 28, 2024

The company partners with employers and health plans, such as Medicaid and Medicare, to provide patients virtual access to registered dietitians.

Medicare 327

Medicare 327

FierceHealthIT

SEPTEMBER 20, 2024

Cigna is reshaping its Medicare Advantage (MA) plan lineup across eight states, affecting members in 36 health plans. Cigna is the latest company to rethink its Medicare Advantage offerings, choosing to cut plans in eight states including Florida.

Medicare 124

Medicare 124

Mobi Health News

JUNE 1, 2020

A recent report analyzing claims data identified virtual-care use cases estimates that could comprise roughly 20% of all Medicare, Medicaid and commercial spend across outpatient, office and home health.

Medicare 363

Medicare 363

FierceHealthIT

JULY 31, 2024

Humana affirmed its guidance for the year as it continues to face headwinds in the Medicare Advantage (MA) space. Humana affirmed its guidance for the year as it continues to face headwinds in the Medicare Advantage space.

Medicare 136

Medicare 136

FierceHealthIT

OCTOBER 10, 2024

Just 40% of Medicare Advantage prescription drug plans offered in 2025 achieved a score of four stars or higher, the Centers for Medicare & Medicaid Services (CMS) revealed Oct. It's harder than ever for Medicare Advantage plans to score well on star ratings. Here's how they performed for 2025.

Medicare 126

Medicare 126

FierceHealthIT

JUNE 17, 2024

Amazon Pharmacy is expanding its prescription drug subscription program, called RxPass, to Prime members on Medicare insurance. | The RxPass program, launched in January 2023, provides unlimited access to 60 eligible generic medications and will ship the medications to customers' homes for a flat monthly fee of $5.

Medicare 135

Medicare 135

FierceHealthIT

AUGUST 27, 2024

A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars—only to abruptly back off amid an “uproar” fr | Filings and testimonies in a multibillion-dollar Justice Department civil fraud case against UnitedHealth Group outline industry pressure that led the (..)

Medicare 132

Medicare 132

FierceHealthIT

AUGUST 14, 2024

Getting seniors enrolled into the right Medicare plan is typically an inefficient process that many older patients find confusing and frustrating, spending hours on the phone with human call center | Startup Fair Square Medicare is using advancements with generative AI to build AI-based voice agents to screen seniors for Medicare coverage and improve (..)

Medicare 136

Medicare 136

FierceHealthIT

DECEMBER 17, 2024

The Centers for Medicare & Medicaid Services (CMS) is discontinuing the Medicare Advantage (MA) Value-Based Insurance Design model at the end of 2025. | The Value-Based Insurance Design model for Medicare Advantage plans will be terminated at the end of next year.

Medicare 126

Medicare 126

FierceHealthIT

OCTOBER 29, 2024

Accountable care organizations saved Medicare $2.1 billion, the largest yearly savings in program history, in 2023, the Centers for Medicare & Medicaid Services revealed on Tuesday. Accountable care organizations (ACOs) saved Medicare $2.1

Medicare 131

Medicare Accountable Care 131

Mobi Health News

OCTOBER 1, 2022

The new allocation will help the company expand its insurance coverage, including Medicare and Medicaid, across the U.S.

Mental health 336

Mental health Medicare 336

FierceHealthIT

NOVEMBER 2, 2024

The Centers for Medicare and Medicaid Services (CMS) is moving forward with a 2.9% The Centers for Medicare and Medicaid Services (CMS) is moving forward with a 2.9% cut to physician payments in 2025 despite protest from major industry groups. | cut to physician payments in 2025 despite protest from major industry groups.

Medicare 132

Medicare 132

Mobi Health News

JULY 12, 2024

The proposed 2025 physician fee schedule from the Centers for Medicare & Medicaid Services includes payment and coding for digital health tools for behavioral health.

Digital Health 310

Digital Health Medicare 310

FierceHealthIT

SEPTEMBER 6, 2024

In its comments to the Centers for Medicare and Medicaid Services (CMS) on the draft CY2025 Medicare physician fee schedule (PFS), the American Medical Association badgered CMS on its pro | The American Medical Association submitted its comment letter to CMS on its draft CY2025 Medicare physician fee schedule.

Medicare 132

Medicare Telehealth 132

Mobi Health News

JUNE 17, 2024

The company is now an in-network provider with numerous insurers and commercial and Medicare Advantage plans, expanding its reach to all 50 states.

Primary Care 304

Primary Care Medicare 304

FierceHealthIT

OCTOBER 15, 2024

CareNu is starting to sign members up for health insurance through its Medicare Advantage plan for the first time. CareNu's subsidiary is launching an Institutional Special Needs Medicare Advantage plan in Florida for patients with chronic illness.

Medicare 123

Medicare 123