The Centers for Medicare & Medicaid Services (CMS) will continue to pay more for Medicare Advantage (MA) plans -- $76 billion more in 2026 -- compared with fee-for-service plans. That higher cost ...

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A six-state pilot program will target 'wasteful care' under Medicare Medicare programs in six states will face prior authorizations under a new pilot program. Traditional Medicare in six states will ...

Medicare isn't a "set it and forget it" program. Coverage that worked well one year may not be so great in others. Changes to premiums, plan rules, and out-of-pocket costs can stealthily chip away at ...

Hospitals and health systems continue to sever ties with certain Medicare Advantage plans heading into 2026, citing persistent frustrations with prior authorization denials and slow reimbursement from ...

As an editor, the lion’s share of my job is about identifying the awards season’s most compelling stories and conveying them to our readers. But I do reserve a small sliver of time for the joys of ...

Medicaid, the federal program for low-income Americans, provides health care coverage for over 70 million people, while Medicare, the federal program for those older than 65 or potentially those ...

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial intelligence tools. The Wasteful and Inappropriate Service Reduction (WISeR) model is ...

A major health care divide is coming in 2026. Some Americans may finally catch a break on rising costs, as the first negotiated Medicare drug prices go into effect. Others will end up paying more, as ...