The Medicare innovation center’s ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) model was met with praise when it was announced last year. The program will test paying providers to help patients manage chronic cardiometabolic, musculoskeletal, and behavioral health conditions. Health care providers will get paid the full price only if they do a good job. It’s an […]
Medicare ACCESS pricing underscores AI focus Read More »
By Maya Goldman Illustration: Allie Carl/Axios Medicare next month will begin AI-powered pre-treatment reviews for select health services in a major policy change that’s aimed at rooting out unnecessary care — but alarming providers. Why it matters: While the change covers only 17 treatments or procedures in a handful of states, it marks a major shift for
Docs on edge about new Medicare reviews Read More »
by Anna Claire Vollers edited by Sadie Harley, reviewed by Andrew Zinin Editors’ notes Credit: Unsplash/CC0 Public Domain A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans’ requests for certain medical care—and will reward the companies when they deny it. In January, the federal Centers for Medicare & Medicaid Services
Medicare’s new AI experiment sparks alarm among doctors, lawmakers Read More »
Original Medicare Medicare Advantage Enrollment periods Finding a doctor Avoiding surprise bills Claim denials Resources Summary Medicare consists of several parts. Understanding these parts and knowing how to navigate Medicare may help people prevent future confusion. Medicare is a United States Government-funded insurance program that becomes available when people reach 65 years of age or
What to know about navigating Medicare Read More »
By Maya Goldman Illustration: Victoria Ellis/Axios The Trump administration on Friday finalized a controversial plan to reevaluate how Medicare calculates doctor payments that will result in lower rates for specialty services. Why it matters: Medicare will implement a 2.5% cut next year to payments for services like radiology and gastroenterology that are based on more than time spent delivering
Medicare finalizes cuts for specialty services Read More »
What should you know about changes to Medicare costs in 2026? Image credit: Maskot/Getty Images Health experts say it is important for Medicare recipients to compare plans during the current open enrollment period. They note that some monthly insurance premiums may increase slightly while others may see minor decreases. They add that there could be
Medicare costs: 3 key changes in 2026 Read More »
The Centers for Medicare and Medicaid Services said late last night that it was not pausing all Medicare payments to doctors, after a statement hours earlier had asserted that it would. Instead, the agency will only wait to process claims that are related to programs that have expired, such as some telehealth or rural services.
Medicare backs off plan to pause doctor payments Read More »
Medicare is proposing across-the-board cuts to what Trump administration officials believe are overpriced medical procedures, scans, and tests — a consequential decision designed to even the score between highly paid specialists and primary care doctors. “People used to talk about the primary care physician being sort of the quarterback of the team,” Abrams said. “But what team
Medicare proposes ‘efficiency’ pay cuts for specialist physicians Read More »
Differences Which is better? Switching plans Enrollment periods Summary An individual cannot have a Medicare Advantage (Part C) plan and a Medicare supplement insurance plan, also called a Medigap plan, at the same time. If a person with a Medigap plan joins Medicare Advantage, they will no longer be able to use the Medigap coverage.
Can you have a Medicare Advantage plan and a supplemental plan at the same time? Read More »
by Jason Millman, University of Southern California edited by Lisa Lock, reviewed by Andrew Zinin Credit: Pixabay/CC0 Public Domain Making prescription drugs more affordable was a key goal of the Inflation Reduction Act (IRA). However, most Medicare beneficiaries may end up paying more out of pocket for medicines as Part D plans adjust to the law’s new
Most Medicare beneficiaries may pay more for drugs under the Inflation Reduction Act Read More »
Vitae, vulputate lorem id egestas neque egestas habitant sit ante nec.
✆ Phone (appointments): 714-639-4013
Email: care@imedmg.com
Address: 615 E Chapman Ave, Suite #300, Orange, CA 92866