Starting January 1, 2026, Superior HealthPlan will introduce an aligned Dual Special Needs Plan (D-SNP) in Texas. As per CMS directives, our current STAR+PLUS Medicare-Medicaid Plan (MMP) will end on December 31, 2025. Members will be automatically transferred to the new aligned D-SNP, named Wellcare By Superior HealthPlan . Similar to MMP, this new plan is crafted for individuals eligible for both Medicare and Medicaid, enabling a single healthcare organization to coordinate

As healthcare providers brace for the changes in Medicare, the new prior authorization requirements coming in 2026 have generated considerable conversation. The initiative known as the WISeR Model seeks to simplify the authorization process while tackling significant issues like fraud and overutilization in specific service areas. It is vital for healthcare providers, especially those in the six states participating in the pilot program, to grasp how these changes will affect

Starting January 1, 2026, Blue Cross will implement authorization changes for some commercial and government program members . These changes will affect how healthcare providers request and receive approvals for certain services. Understanding these updates is essential for providers to ensure smooth patient care and avoid delays in treatment. What Are the Authorization Changes Coming to Blue Cross? The authorization changes coming to Blue Cross for some commercial and govern

Telehealth has transformed healthcare access in recent years, especially during the COVID-19 pandemic. Now, the Senate has approved an extension of certain telehealth services through January 30, 2026. This decision will affect millions of patients across the country. Understanding what this extension means can help patients make the most of telehealth options and plan for their healthcare needs in the coming years. Patient engaging in telehealth consultation from home What t

Medicare has long been a crucial resource for individuals seeking healthcare coverage, particularly for those with chronic conditions or injuries requiring specialized treatment. One area that has recently gained attention is the coverage of skin substitute products as incident-to supplies. This blog post aims to clarify what this means for patients and healthcare providers, exploring the implications of this coverage and how it can benefit those in need. Medicare's coverage