Insurance

Can Medicare for All Save a Trillion Dollars and 100,000 Lives?
Management & Administration Can Medicare for All Save a Trillion Dollars and 100,000 Lives?

The widening gap between commercial insurance rates and Medicare payment rates has contributed to a ballooning of national health expenditures that continues to outpace the rate of inflation. As the United States navigates the complexities of its modern healthcare landscape, the debate over a

Why Does Medigap Lack a Yearly Shopping Window?
Management & Administration Why Does Medigap Lack a Yearly Shopping Window?

The disparity between Medicare Advantage and Medigap becomes clear every October when one offers a shopping window while the other remains closed to those with health issues. This annual ritual highlights a structural divide in the American healthcare system for seniors, where the flexibility of

Does Medicare Pay for Nursing Home Hospice Room and Board?
Management & Administration Does Medicare Pay for Nursing Home Hospice Room and Board?

Even when a hospice provider coordinates care, the underlying contract for the nursing home bed remains a separate financial obligation for the family or the state. The transition to end-of-life care is often a time of immense emotional strain, frequently exacerbated by a significant

Does Medicare Pay for Hospice Care in a Nursing Home?
Management & Administration Does Medicare Pay for Hospice Care in a Nursing Home?

Physicians must certify a life expectancy of six months or less for hospice eligibility, yet this certification does not unlock funding for residential housing. This nuance often catches families off guard during some of the most difficult moments of their lives. While Medicare Part A remains a

Alabama Education Health Plan Faces $222 Million Shortfall
Management & Administration Alabama Education Health Plan Faces $222 Million Shortfall

A $222 million funding gap is threatening to force difficult choices regarding the healthcare benefits provided to Alabama’s teachers and retirees. The Public Education Employees’ Health Insurance Plan (PEEHIP) of Alabama is currently navigating a precarious financial landscape, characterized by a

The Gap Between Medical Necessity and Insurance Coverage
Management & Administration The Gap Between Medical Necessity and Insurance Coverage

While actress Olivia Munn’s experience highlighted the life-saving potential of breast MRIs, many women find these critical scans are not covered by standard preventive care benefits. The American healthcare system often presents a jarring disconnect between what a doctor deems medically necessary

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