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President Trump is Taking on Big Pharma – Maybe

Posted on 02/26/2017

With all the news surrounding healthcare reform since President Trump took office in January, there’s been plenty of speculation and few facts on how the new administration is going to handle Medicare. The president’s campaign promises and conflicting statements from members of Congress don’t help. Trump also muddied the waters this week with statements on medication costs for those on

On Medicare? How Trump’s Healthcare Policies Might Affect Your Wallet

Posted on 02/22/2017

Healthcare has been at the center of the political debate for months, and there doesn’t seem to be any end in sight to the discussion. In fact, it seems as if the debate is just now heating up, fueled by promises made by President Trump and fellow Republicans who now control Congress. And while there are a lot of promises

Changes on the Horizon for Medicare

Posted on 02/16/2017

President Trump didn’t say much, if anything at all, about changing Medicare while he was on the campaign trail – and for good reason. Despite its status as an entitlement program, Medicare is popular among liberals and conservatives, Republicans and Democrats, and just about every American. But while he was mum on Medicare reform before he took office, Trump now

Is Medicare Changing Under Trump?

Posted on 02/14/2017

In the discussion of healthcare and the Affordable Care Act (ACA), it’s important to understand that no one really knows what is going to happen. All we can do at this point is speculate based on what key players within the industry and the political arena have said. Of course, when politicians introduce a plan, they try to make it

Updates from the CMS Innovation Center

Posted on 01/25/2017

Before the Center for Medicare and Medicaid (CMS) Innovation Center was established in 2010, there weren’t many rigorous efforts in play to reduce costs and improve the quality of healthcare under Medicare. Since its inception, the CMS Innovation Center has focused on improving healthcare and cutting costs so that members enjoy greater benefits. Much of the center’s work revolves around

Changes to the Medicare and Medicaid EHR Incentive Programs

Posted on 12/02/2016

The Centers for Medicare and Medicaid Services (CMS) has released a long list of changes for the Hospital Outpatient Prospective Payment System (OPPS) that are intended to streamline certain systems and encourage quality health care by hospitals and their off-campus affiliate locations. Changes deal primarily with streamlining billing processes, creating more transparency for the patient and increasing compensation for hospitals

Medicare Competitive Bidding Program for DMEPOS Contracts in 2017

Posted on 12/02/2016

In 2011, the Centers for Medicare and Medicaid Services (CMS) created the Medicare DMEPOS Competitive Bidding Program to allow more competition in the pricing of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). It’s a tool designed to help taxpayers and beneficiaries access the best quality equipment at the most reasonable prices. Round 1 of 2017 contract suppliers’ bids for

Five Good Reasons to Sign Up for Medicare Early

Posted on 12/01/2016

If you’re new to Medicare or you know someone who’s about to enroll, then you might not know that Medicare has enrollment periods. Aside from the initial signup window – which lasts for seven months starting three months before you turn 65 – there are periods throughout the year during which you can sign up for certain parts, like Medicare

How to Recognize Medicare Enrollment Scams

Posted on 11/09/2016

It’s only been six years since the Affordable Care Act, also known as Obamacare, effectively changed the landscape of modern American health care, including the rules and regulations surrounding Medicare. Unfortunately, it didn’t take long for scammers to develop new ways of deceiving Medicare enrollees. Medicare Advantage, Medigap and other supplementary plans are especially vulnerable to attack. In 2016, Medicare

Understanding Medicare Seamless Conversion

Posted on 11/09/2016

On October 21, 2016, the Centers for Medicaid and Medicare Services (CMS) released a list of insurance companies on the federal health insurance marketplace that went almost unnoticed. We know that the list went almost unnoticed because complaints regarding the purpose of the list are on the rise all over the country, and it seems as though the CMS is

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