Latest news with #TRICARE
Yahoo
2 days ago
- Business
- Yahoo
Adia Nutrition Inc. Supports Heroes and Their Families with TRICARE In-Network Application, Advancing Regenerative Care Through Adia Med
Winter Park, Florida--(Newsfile Corp. - July 23, 2025) - Adia Nutrition Inc. (OTCQB: ADIA), a publicly traded leader in regenerative medicine and personalized wellness solutions, is thrilled to announce that its medical subsidiary, Adia Med, has officially filed to become an in-network provider with TRICARE, the healthcare program serving approximately 9.5 million active-duty service members, retirees, National Guard and Reserve members, and their families worldwide. This step, paired with Adia Med's anticipated approval as a United Healthcare provider by August 1, 2025, positions the company to transform healthcare access for millions. Adia Med expects to secure TRICARE in-network provider status by August 31, 2025, tapping into a program that paid out $50.6 billion for medical treatments in FY2019 to support its beneficiaries. Evaluation of the TRICARE Program: Fiscal Year 2019 Report to Congress. To view an enhanced version of this graphic, please visit: This strategic filing positions Adia Med to serve TRICARE's extensive network of beneficiaries, including military personnel and their families, by offering innovative regenerative treatments such as Umbilical Cord Blood Stem Cell (UCB-SC) therapies, Autologous Hematopoietic Stem Cell Transplantation (AHSCT), and Therapeutic Plasma Exchange (TPE). These therapies, provided at Adia Med's Winter Park clinic and planned satellite locations, target conditions like Multiple Sclerosis, joint pain, torn tendons, and other orthopedic and wellness needs, aligning with Adia Nutrition's mission to revolutionize healthcare accessibility. "We're fired up to support the 9.5 million TRICARE beneficiaries, including our nation's military heroes and their families, by bringing our regenerative therapies into their reach," said Larry Powalisz, CEO of Adia Nutrition Inc. "With TRICARE's massive $50.6 billion investment in medical care, our filing to join their network, alongside our imminent United Healthcare approval, will make advanced treatments more accessible and affordable, driving transformative health outcomes and fueling Adia Med's growth." The TRICARE filing complements Adia Med's recent progress with United Healthcare, where the company has already begun submitting its first patient insurance claims, signaling near-final integration. By securing in-network status with both TRICARE and United Healthcare, Adia Med will join an elite group of providers meeting rigorous standards for clinical excellence, compliance, and patient care. These partnerships will enable insurance reimbursement for Adia Med, enhancing affordability and accessibility for patients seeking innovative treatments. For questions, inquiries or further information, please contact Larry Powalisz at ceo@ or 321-788-0850. About ADIA Nutrition Inc.:Adia Nutrition Inc. is a publicly traded company (OTC Pink: ADIA) dedicated to revolutionizing healthcare and supplementation. With a focus on innovation and quality, the company has established two key divisions: a supplement division providing premium, organic supplements, and a medical division establishing Clinics that specialize in leading-edge stem cell therapies, most significantly Umbilical Cord Stem Cells (UCB-SC) and Autologous Hematopoietic Stem Cell Transplantation (aHSCT) treatments. Through these divisions, Adia Nutrition Inc. is committed to empowering individuals to live their best lives by addressing both nutritional needs and groundbreaking medical treatments. Website: Website: (X): @ADIA_Nutrition Safe Harbor: This Press Release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These forward-looking statements are based on the current plans and expectations of management and are subject to a few uncertainties and risks that could significantly affect the company's current plans and expectations, as well as future results of operations and financial condition. A more extensive listing of risks and factors that may affect the company's business prospects and cause actual results to differ materially from those described in the forward-looking statements can be found in the reports and other documents filed by the company with the Securities and Exchange Commission and OTC Markets, Inc. OTC Disclosure and News Service. The company undertakes no obligation to publicly update or revise any forward-looking statements, because of new information, future events or otherwise. To view the source version of this press release, please visit Sign in to access your portfolio
Yahoo
04-07-2025
- Business
- Yahoo
Humana Expands Medicaid Footprint With Virginia's Cardinal Care Win
Virginia's Medicaid program, Cardinal Care, has chosen Humana Inc. HUM as one of five insurers to administer services through its new Humana Healthy Horizons plan. All Virginia Cardinal Care members are now eligible to choose this as a new Medicaid plan option. Cardinal Care offers health coverage to low-income individuals, children, seniors, people with disabilities and pregnant women. Rather than paying healthcare providers directly, the program partners with private insurance companies known as Managed Care Organizations, which manage medical services, prescriptions and overall care coordination for members. Humana Healthy Horizons is poised to deliver comprehensive care to individuals and families across the state, focusing not only on physical and mental health but also on the social factors that often hinder better overall well-being. With existing service to Medicare Advantage and TRICARE members in the state, the expansion into Cardinal Care allows Humana to extend its human-centred approach to Medicaid recipients, aiming to offer innovative solutions, address complex needs, and improve both health outcomes and quality of life. This move opens a valuable opportunity for Humana's growth. By managing care for enrolled members, the company can increase memberships and receive regular payments from the state, offering a steady and scalable source of revenue. Through Humana Healthy Horizons, the company already serves 1.5 million Medicaid members in the country. Expanding into Virginia's Medicaid broadens Humana's reach beyond Medicare and TRICARE. In the year-to-date period, Humana's shares have lost 3.9% compared with a 24% decline across the broader industry. Due to rising healthcare costs, increased service utilization, and operational inefficiencies, Humana continues to face pressure on its profitability and long-term margins. Image Source: Zacks Investment Research HUM currently has a Zacks Rank #3 (Hold). Some better-ranked stocks in the medical space areCentene Corporation CNC,Cigna Group CI and Molina Healthcare Inc. MOH,each carrying a Zacks Rank #2(Buy) at present. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here. The Zacks Consensus Estimate for Centene's current-year earnings is pegged at $7.28 per share, implying 1.5% year-over-year growth. CNC's earnings surpassed estimates in each of the last three of four quarters, the average surprise being 25.5%. The consensus estimate for Centene's current-year revenues is pegged at $179.5 billion, implying 10.1% year-over-year growth. The Zacks Consensus Estimate for Cigna's current-year earnings is pegged at $29.68 per share, implying 8.6% year-over-year growth. Cigna's earnings surpassed estimates in three of the last four quarters. It has witnessed eight upward revisions in the last 60 days against no movement in the opposite direction. The consensus estimate for Cigna's current-year revenues is pegged at $258.2 billion, implying 4.5% year-over-year growth. The Zacks Consensus Estimate for Molina's current-year earnings is pegged at $28.44 per share, implying 7.9% year-over-year growth. MOH's earnings surpassed estimates in three of the last four quarters. The estimate remained stable in the last 60 days. The consensus estimate for Molina's current-year revenues is pegged at $44.1 billion, implying 8.4% year-over-year growth. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report This article originally published on Zacks Investment Research ( Zacks Investment Research Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Business Wire
02-07-2025
- Health
- Business Wire
Humana Launches Medicaid Plan in Virginia
LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Healthy Horizons is now a Medicaid plan option for Virginians covered by Virginia Cardinal Care. 'We will deliver comprehensive health care services to Virginia's most vulnerable residents, addressing not only physical and mental health needs, but also the health-related social needs that often prevent individuals from achieving their best health.' 'At Humana, we put our members' health first, and we are committed to improving the holistic well-being of the communities we serve. We have the privilege of serving Medicare Advantage and TRICARE members throughout Virginia, and we are honored to expand our human-centered care to Virginians covered by Cardinal Care,' said Humana Healthy Horizons President John Barger. 'By providing Medicaid coverage under Cardinal Care, we have the opportunity to deliver innovative solutions to meet complex needs, improve health outcomes and enhance quality of life.' Humana is one of five plan administrators Cardinal Care selected as part of a statewide Medicaid managed care procurement issued last year. All individuals currently covered by Virginia Cardinal Care are eligible to enroll in the newly launched Humana Healthy Horizons plan. 'We at Humana are privileged to serve the whole-person health needs of Medicaid enrollees across Virginia,' said Linda Hines, President of Humana Healthy Horizons in Virginia. 'We will deliver comprehensive health care services to Virginia's most vulnerable residents, addressing not only physical and mental health needs, but also the health-related social needs that often prevent individuals from achieving their best health.' Humana is proud to be a community partner in Virginia to address urgent and long-term health needs. Over the next five years, Humana will commit an additional $2 million to the Virginia Health Care Foundation (VHCF), following an initial $500,000 investment to expand and support the Commonwealth's behavioral health workforce. To learn more about how Humana is ensuring comprehensive care and resources for our Medicaid enrollees, please read our Impact Report. About Humana Healthy Horizons Humana manages Medicaid benefits for nearly 1.5 million members nationally under the Humana Healthy Horizons TM brand, which reflects our expertise in managing complex populations, our commitment to creating solutions that lead to a better quality of life for our members, and our efforts to deliver human care that makes the healthcare experience easier, more personalized and more caring. During more than two decades of serving people with Medicaid, Humana and Humana Healthy Horizons have developed a wide range of capabilities to serve children, parents, childless adults, and beneficiaries that are aged, blind or disabled. We integrate physical health, behavioral health, pharmacy, long-term care, and social services for a whole-person approach to improve the health and well-being of our members and the communities we serve. Humana Healthy Horizons is a Medicaid Product offered by affiliates of Humana Inc. About Humana Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we strive to make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Learn more about what we offer at and
Yahoo
01-07-2025
- Politics
- Yahoo
Rick Scott Demands More Cuts to Medicaid, Which His Company Allegedly Scammed
Sen. Rick Scott (R-Fla.), who's famous for his former hospital company's record-setting Medicare fraud settlements, is currently leading an effort to make Donald Trump's 'Big Beautiful Bill' even more painful for America's poor. The legislation already cuts $930 billion from Medicaid, the nation's government health insurance program for low-income and disabled Americans, and would eliminate coverage for millions. Scott's amendment, expected to get a vote Monday, would take away another $313 billion in state Medicaid funds and force hundreds of thousands of additional people, at least, off the program. Scott has framed his proposed Medicaid cuts as necessary to preserve the program 'for those who truly need it' — and not 'able-bodied' adults. 'If you don't want to work, you're the one who decided you don't want health care,' he recently said on Fox News. He's suggested Democrats are using tax dollars to 'give illegal aliens Medicaid benefits,' even though undocumented immigrants are not eligible for Medicaid, claiming that blue states want to 'exploit this safety net.' Ironically enough, some of the claims against Scott's old hospital company revolved around exploiting Medicaid, and billing for services that patients didn't need. Scott's office did not immediately respond to Rolling Stone's request for comment Monday. The senator resigned as CEO of the hospital chain known as HCA Healthcare in 1997 amid an ongoing federal probe and a series of whistleblower complaints. He has long faced attacks from Democrats over the $1.7 billion that HCA paid to resolve fraud allegations in the early 2000s. Some of the allegations involved Medicaid. In late 2000, as part of the 'largest government fraud settlement ever' with the Justice Department, HCA pleaded guilty to criminal conduct and agreed to pay over $840 million in fines, penalties, and damages to resolve claims of unlawful billing practices. Among the claims HCA settled over: The company was accused of billing 'Medicare, Medicaid, the Defense Department's TRICARE health care program, and the Federal Employees' Health Benefits Program, for lab tests that were not medically necessary' and 'not ordered by physicians.' HCA was accused of 'upcoding,' or pretending patients were sicker than they were in order to increase reimbursements to its hospitals. 'The guilty plea includes one count relating to this upcoding practice,' the Justice Department wrote in a press release. The company was also accused of billing Medicaid 'for home health visits for patients who did not qualify to receive them or were not performed,' the department said. The civil and administrative settlement agreement between HCA and the U.S. Justice Department said the company, from 1995 to 1998, submitted claims to Medicaid, Medicare, and TRICARE, '(a) for visits to patients who did not qualify for home health services because (i) the patients were not homebound, (ii) there was no medical need for such services, or (iii) there was no medical need for skilled services; (b) for visits that were not provided; (c) for visits to deliver services that were in fact or should have been provided by an assisted living facility.' HCA and the Justice Department entered into an additional settlement agreement in 2003, in which the company agreed to pay another $631 million to resolve false claims it submitted to federal health programs. In a civil settlement agreement, the Justice Department wrote that health regulators 'contend that they have certain administrative claims against HCA under the provisions for permissive exclusion from the Medicare, Medicaid, and other federal health care programs.' Under both agreements, the Justice Department announced that HCA would pay millions of dollars to state Medicaid agencies: $13.6 million in 2000, and then $17.5 million in 2003. The department said the latter figure represented 'direct state losses.' A few decades later, Scott is now trying to extract a huge amount of money from state Medicaid funds to help finance Trump's latest round of tax cuts for the rich. Some things never really change. More from Rolling Stone Senate Republicans Pass Trump's Bill to Strip Health Care From Millions J.D. Vance Dismisses Kicking Millions Off Medicaid: 'Minutiae' Trump Teases Deporting Elon: 'We'll Have to Take a Look' Best of Rolling Stone The Useful Idiots New Guide to the Most Stoned Moments of the 2020 Presidential Campaign Anatomy of a Fake News Scandal The Radical Crusade of Mike Pence
Health Line
06-06-2025
- Health
- Health Line
CHAMPVA and Medicare: Which Is Primary?
You can use CHAMPVA and Medicare at the same time. When you use Medicare together with CHAMPVA, Medicare is the primary payer. CHAMPVA is a cost-sharing health coverage program for some military families who don't qualify for TRICARE. You can use CHAMPVA with Medicare when you're eligible for both programs. CHAMPA will be the secondary payer to Medicare and will pay most of your out-of-pocket costs. Since there are no additional premiums if you qualify for CHAMPVA, using it alongside Medicare can significantly lower your healthcare costs. Glossary of common Medicare terms Out-of-pocket cost: This is the amount you pay for care when Medicare doesn't pay the full cost or offer coverage. It includes premiums, deductibles, coinsurance, and copayments. Premium: This is the monthly amount you pay for Medicare coverage. Deductible: This is the annual amount you must spend out of pocket before Medicare begins to cover services and treatments. Coinsurance: This is the percentage of treatment costs you're responsible for paying out of pocket. With Medicare Part B, you typically pay 20%. Copayment: This is a fixed dollar amount you pay when receiving certain treatments or services. With Medicare, this often applies to prescription medications. What is CHAMPVA? The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a healthcare plan for certain dependents of veterans. CHAMPVA is a different program from TRICARE, which also services military members, veterans, and their families. TRICARE eligibility is open to people who are: active or retired uniformed service members spouses or children of active or retired uniformed service members members of the Army National Guard or Reserve spouses or children of Army National Guard or Reserve members spouses or children of deceased military members certain former spouses of military members Medal of Honor recipients spouses and children of Medal of Honor recipients You can't use CHAMPVA if you have or are eligible for TRICARE. CHAMPVA helps cover certain dependents who aren't eligible for TRICARE. For example, service members who leave active duty under certain conditions might not qualify for TRICARE. However, if they have a disability caused by their service, their family may be able to enroll in CHAMPVA. How does CHAMPVA work with Medicare? Since 2001, CHAMPVA beneficiaries have been able to use their coverage after turning 65 years old. This means CHAMPVA can be used alongside Medicare. You'll need to be enrolled in Medicare to keep your CHAMPVA coverage. Here are the rules for how that works: If you turned age 65 before June 5, 2001, and did not have Medicare Part B at the time, you only need to be enrolled in Medicare Part A to keep your CHAMPVA coverage. If you turned age 65 before June 5, 2001, and were already enrolled in Part B at that time, you need to be enrolled in both Part A and Part B to keep your CHAMPVA coverage. If you turned 65 years old after June 5, 2001, you need to be enrolled in parts A and B to keep your CHAMPVA coverage. Example For example, let's say you turned 65 years old in 1999 and enrolled in Medicare parts A and B. You won't be able to drop your Part B coverage and keep your CHAMPVA coverage. However, if you turned age 65 in 1999 and enrolled in only Part A, you wouldn't need to sign up for Part B to keep your CHAMPVA coverage. You can use CHAMPVA alongside: Original Medicare (parts A and B) Medicare Advantage (Part C) Medicare Part D, which is prescription drug coverage It's important to note that CHAMPVA won't pay for the cost of your Part B premium. You should also know that you can no longer use VA healthcare facilities or healthcare professionals once you're enrolled in Medicare. What services does CHAMPVA cover? CHAMPVA is a cost-sharing health insurance program. This means it will pay a portion of the cost of health services you receive, and you'll pay the remaining amount. You won't pay a premium for CHAMPVA, but there is a $50 deductible before coverage kicks in. After you pay your deductible, CHAMPVA will pay what's known as the 'allowable amount' for all covered services. Generally, CHAMPVA will pay 75% of the allowable amount, and you'll pay the other 25%. Covered services include: hospital stays primary care doctor visits specialist visits lab work skilled nursing care home care ambulance transportation mental health services prescription drugs There are two other completely covered benefits: Hospice care from any provider is 100% covered under CHAMPVA. You can also get prescription coverage at no cost to you if you use the Department of Veterans Affairs (VA) Meds by Mail program, if you have no other prescription drug coverage. Coverage works differently if you use CHAMPVA alongside another health insurance plan, including Medicare. When you use CHAMPVA with another insurance plan, CHAMPVA becomes what's called a secondary payer. This means your other insurance plan will be billed first, and CHAMPVA will then pay the remaining cost. This can save you a lot of money on out-of-pocket medical expenses like copayments or coinsurance amounts. Who pays first for healthcare costs? Medicare is the primary payer when you use it with CHAMPVA. This means Medicare will be the first to pay the cost of any service you receive, and then CHAMPVA will pay the rest. You'll have very few out-of-pocket costs using CHAMPVA and Medicare together since CHAMPVA will generally pay any copayments or coinsurance amounts. You can expect to pay: nothing out of pocket for any service that both Medicare and CHAMPVA cover your Medicare coinsurance cost of 20% for a service Medicare covers, but CHAMPVA doesn't your CHAMPVA cost sharing of 25% for anything CHAMPVA covers, but Medicare doesn't The same rules apply to Medicare Part D. CHAMPVA will pick up your copayments on all covered prescriptions. It will also pay 75% of the cost of prescriptions that your Medicare Part D plan doesn't cover. Present both your Medicare Part D plan card and your CHAMPVA ID card at your in-network pharmacy for coverage. Getting your coverage questions answered If you're not sure who will pay for a service, you can check ahead of time by: calling Medicare's Benefits Coordination & Recovery Center at 855-798-2627 (TTY: 855-797-2627) calling CHAMPVA customer care at 800-733-8387, Monday through Friday from 8:05 a.m. to 7:30 p.m. Eastern Standard Time What about Medicare Advantage? You can use your CHAMPVA coverage with a Medicare Advantage plan. Since Medicare Advantage plans replace Original Medicare, having an Advantage plan still meets the requirement to be enrolled in Medicare to keep CHAMPVA once you're age 65. Your Medicare Advantage plan will be the primary payer, just like when you have Original Medicare. CHAMPVA will pay your copayments and other out-of-pocket costs. Your bill will go to your Medicare Advantage plan first and then to CHAMPVA. In most cases, you won't have any out-of-pocket costs. Many Medicare Advantage plans also include Part D coverage. When you use a Medicare Advantage plan that includes Part D along with CHAMPVA, your CHAMPVA benefits will pick up the cost of your prescription copayments. Medicare Advantage plans often have networks. The network includes all the providers that your Medicare Advantage plan will cover healthcare services. In many cases, you'll need to pay out of pocket for any services you receive from an out-of-network provider. However, when you use CHAMPVA along with your Medicare Advantage plan, you can often get 75% of the cost of out-of-network services covered. How do I choose the right coverage options for me? You need to enroll in Original Medicare (parts A and B) to keep your CHAMPVA coverage. You can also choose to enroll in additional Medicare parts, such as: Medicare Advantage Medigap Medicare Part D The best option for you will depend on your personal needs and budget. Medicare Advantage, Medigap, and Medicare Part D plans have their own premiums, deductibles, and other costs. CHAMPVA can cover some of these costs, but not your premiums. You might not even need additional Medicare parts if you're using CHAMPVA. For example, Medigap plans are designed to cover the out-of-pocket costs of Medicare parts A and B. However, since CHAMPVA already does this when you use it alongside Medicare, you might not need a Medigap plan. Here are some other common scenarios to consider: Original Medicare + CHAMPVA Let's say you have CHAMPVA and Medicare parts A and B, and you choose not to enroll in any other Medicare plans. You'd pay the Medicare Part B premium, and Medicare would be your primary payer for all covered services. You could get prescriptions for 25% of the allowable amount at a pharmacy or completely covered if you use the Meds by Mail program using only CHAMPVA. Original Medicare + Part D + CHAMPVA You have CHAMPVA, Medicare parts A and B, and a Part D plan. You'd pay the Medicare Part B premium and the premium for your Part D plan. Medicare would be the primary payer for services and prescriptions. CHAMPVA would pick up your copayments and coinsurance amounts. Medicare Advantage + CHAMPVA You have CHAMPVA and a Medicare Advantage plan that includes Part D coverage. You'd pay the Medicare Part B premium plus the premium for your Medicare Advantage plan. Medicare would be the primary payer for your services and prescriptions. CHAMPVA would pay your copayments and coinsurance. Ways to save on Medicare coverage It's worth noting that you may be able to find Medicare Advantage or Medigap plans in your area with $0 premiums. You can shop for plans in your area on the Medicare website and compare prices, networks, and covered services before you commit to a plan. You can also look for savings on your Medicare coverage. You might qualify for programs to help lower your costs if you have a limited income. These programs include: Extra Help, which lowers your prescription drug costs Medicare savings programs, which can lower your costs for parts A and B Ultimately, the right plan for you depends on your needs and your budget. You'll want to select a plan that includes: the doctors you want to see any prescriptions you take any services you need You can also search for premiums in your price range, and those with out-of-pocket costs you can manage. How do I know if I'm eligible for CHAMPVA? You're eligible for CHAMPVA if you're the dependent child or the current or widowed spouse of a veteran who meets one of these conditions: is permanently and totally disabled from a service-related injury or disability was permanently and totally disabled from a service-related injury or disability at the time of their death died from service-related injury or disability died during active duty is not eligible for TRICARE There is no premium cost for CHAMPVA coverage. You can apply for CHAMPVA at any time. You'll need to send in an application along with documents that prove your eligibility. Depending on your circumstances, these might include: service records marriage records birth certificates You'll also need to send in information about any other insurance plan you currently have. Your application will generally be processed in 3 to 6 weeks. If your application is approved, you will receive a CHAMPVA card in the mail. As soon as your card arrives, you can start using CHAMPVA coverage. The takeaway When you use CHAMPVA with Medicare, CHAMPVA acts as the secondary payer. CHAMPVA doesn't cover Medicare premiums but will cover most of your other out-of-pocket healthcare expenses. CHAMPVA pays 75% of the cost of most services. The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products. Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance.
