medicare
Medicare paid $536 million for remote patient monitoring in 2024
In 2024, Medicare paid $536 million for remote patient monitoring, a 31 percent increase from 2023. Remote patient monitoring (RPM) is a technology that allows healthcare providers to collect and analyze patient health data from a distance, typically in the…
Will doctors continue to serve Medicare patients?
Medicare reimbursement is not keeping up with inflation, according to a new study. The report noted that doctors are paid one-third less than a decade ago, but over the same period, inflation has risen by almost 30 percent. Additionally, Medicare…
Increase in hospital days by Medicare Advantage members
In 2025, 54 percent of eligible Medicare beneficiaries are enrolled in a Medicare Advantage plan. This trend will impact healthcare providers since Medicare Advantage plans ‘reimbursement differs from traditional Medicare. How will this affect hospitals and beneficiaries? First, almost all…
The rising cost of health care for Medicare beneficiaries
The cost of health care for Medicare beneficiaries is rising. A recent analysis by the Kaiser Family Foundation found that 7 million Medicare beneficiaries spent more than 10 percent of their annual income on Medicare Part B premiums in 2024.…
Could we see a “two-tier” Medicare program?
Did you know that there are roughly 67 million Medicare patients, and 54 percent of them are in a Medicare Advantage plan? Medicare patients make up a large part of many physicians’ practices; however, physicians treating Medicare patients are seeing…
Social Security Adds 13 Conditions to Compassionate Allowances List
(Source: SSA.gov) The Social Security Administration (SSA) today announced the addition of 13 new conditions to the agency’s Compassionate Allowances (CAL) list. The CAL initiative accelerates the disability application process for individuals with the most serious diseases and medical conditions…
Your first Medicare billing surprise
Around your 65th birthday, you will have a 7-month window of time when you can sign up for Medicare. It is called your Initial Enrollment Period — or IEP for short. Your IEP includes your 65th birthday month, as well…
The next step in preventing fraud
In recent weeks, the Centers for Medicare & Medicaid Services (CMS) announced that the “Fraud Takedown” resulted in the prosecution of over 300 defendants who committed over $14.6 billion worth of fraud against the Medicare program. The Medicare program is…
CMS releases 2026 Medicare Part D Information
The Centers for Medicare & Medicaid Services (CMS) has released preliminary technical Medicare Part D bid information for the 2026 contract year, which will help Part D plans finalize their Part D and Medicare Advantage (MA) offerings for 2026. As…
United Healthcare billing practices being scrutinized by Dept. of Justice
Probably the nation’s largest healthcare provider, United Healthcare (UHC) Group, has confirmed that it will fully cooperate with an investigation by the Federal Department of Justice (DOJ) into its Medicare billing practices. Professing full confidence that UHC’s billing processes are…