Medicare news and trends

Regulators Warn Against Improper Billing of Medicare Recipients
Regulation // November 01, 2024

Two federal agencies warned healthcare providers, Medicare Advantage plans and debt collectors not to improperly bill Qualified Medicare Beneficiary recipients (QMBs), who generally cannot be billed for cost-sharing by healthcare providers who accept Medicare. The Consumer Financial Protection Bureau (CFPB) and the Centers for Medicare...

GoHealth to Acquire e-TeleQuote to Expand Health Insurance Marketplace
Acquisitions // September 04, 2024

Health insurance marketplace GoHealth has inked an agreement to buy Medicare-focused e-TeleQuote. The acquisition is expected to close Sept. 30, GoHealth said in a Wednesday (Sept. 4) news release.  The company called the acquisition a “significant milestone in GoHealth’s mission to deliver unparalleled consumer-centric solutions...

Amazon Expands Prescription Offering to Medicare Members
Amazon // June 18, 2024

Amazon said it has expanded its prescription drug program to include Medicare beneficiaries. Beginning Tuesday (June 18), more than 50 million enrollees in the government health insurance program are eligible for Amazon’s RxPass, a Prime member benefit that allows for affordable access to common medications,...

GoHealth’s Data Science Platform Draws 75% of Enrollments
Healthcare // March 14, 2024

Health insurance marketplace GoHealth says its investment in its data science platform is paying off. The company launched its Encompass platform last year, and is now seeing it drive 75% of its enrollment, management said during a quarterly earnings call Thursday (March 14). This is happening, CEO Vijay Kotte said, as...

Interviews & Exclusives
Micro-Incentives and AI Inject Fresh Energy Into Value-Based Healthcare

April 20, 2022
Picture two opposing armies, loaded to the teeth with accounting software. On one side are healthcare providers and their billing teams. On the other bristles an army of insurers. At stake is who ends up paying what. Like most conflicts it’s most problematic for the innocents caught in between, in this case, patients bombarded with […]

The Doctor Will See You Now: At Home

April 06, 2021
Thanks to rapidly advancing technology, our homes are becoming much more of a commerce command center than a simple living space. Companies like Roku and Netflix have turned them into...

Quick Reads
WEX Introduces Digital Commerce Solution for Medicare Platform

November 21, 2024
Global commerce platform WEX added a digital shopping solution to its Medicare Advantage supplemental benefits platform. The Medicare Advantage marketplace expands the brick-and-mortar merchant network to which Medicare Advantage members already have access, according to a Thursday (Nov. 21) press release. Now, members can buy eligible over-the-counter (OTC) products and grocery items online within WEX’s […]

Regulators Warn Against Improper Billing of Medicare Recipients

November 01, 2024
Two federal agencies warned healthcare providers, Medicare Advantage plans and debt collectors not to improperly bill Qualified Medicare Beneficiary recipients (QMBs), who generally cannot be billed for cost-sharing by healthcare...

GoHealth to Acquire e-TeleQuote to Expand Health Insurance Marketplace

September 04, 2024
Health insurance marketplace GoHealth has inked an agreement to buy Medicare-focused e-TeleQuote. The acquisition is expected to close Sept. 30, GoHealth said in a Wednesday (Sept. 4) news release.  The...

Amazon Expands Prescription Offering to Medicare Members

June 18, 2024
Amazon said it has expanded its prescription drug program to include Medicare beneficiaries. Beginning Tuesday (June 18), more than 50 million enrollees in the government health insurance program are eligible...