Connecticut's shift to Medicare Advantage for state retirees saves $1.7 billion but raises access and prior authorization concerns. Efforts to restore traditional Medicare options underway.

New York State's failure to enforce Medicare enrollment for eligible seniors costs Medicaid $500 million amidst federal funding cuts, raising concerns over state health spending and oversight.

A new study outlines data challenges and proposes methods to improve analysis of Medicare Advantage plans, focusing on utilization, cost, and risk adjustment.

Congressional bill aims to improve Medicare Advantage comparisons by using accurate data and transparent methods, ensuring fair Medicare policy for seniors and taxpayers.

Atlantic American (AAME) posted $3.3M net income in Q2 2025 driven by niche P&C and Medicare supplement growth, backed by disciplined capital and investment management.

Medicare Supplement Plan G has become the leading Medigap coverage option in 2025, offering seniors extensive protection beyond Original Medicare except for the Part B premium. Learn about costs, coverage, and plan benefits.

Audit finds New York's Medicaid program lost nearly half a billion dollars by not enrolling eligible seniors in Medicare, costing state budgets as federal funding declines. Recommendations urge improved enrollment procedures and state-local coordination.

US government pursues civil forfeiture against two Florida DME companies accused of over $33 million in fraudulent Medicare claims for medically unnecessary equipment and services.

Physician reimbursement rates have declined significantly amid rising workloads and inflation, causing financial strain on practices and impacting patient access. CMS updates and legislative proposals aim to address these challenges.

The 2025 Medicare Trustees Report projects Hospital Insurance trust fund depletion by 2033, with increasing Medicare costs impacting beneficiaries and taxpayers. Explore implications for Medicare policy and finance.