The Medicare open enrollment period and recent federal shutdown are driving increased scams targeting Medicare beneficiaries. Learn how confusion around Medicare cards heightens fraud risks.
CMS finalized the 2026 Medicare Physician Fee Schedule with minor reforms and introduced an interactive dashboard tracking payment rates across Medicare payment systems starting January 2026.
CVS Health closes 16 Oak Street Health locations citing elevated medical costs and CMS risk model changes, reflecting broader strategic shifts in retail healthcare amid financial pressures.
Ballad Health sues UnitedHealth Group over alleged Medicare Advantage care denials, coding practices, and reimbursement disputes impacting rural healthcare and insurance contracts.
Stellar Health's MSSP ACO surpasses Medicare average savings with $5M saved in 2024, leveraging tech-enabled micro-incentives to improve provider performance and patient outcomes in value-based care.
Explore how political donations and regulatory delays have impacted Medicare coverage and spending on costly skin substitute products lacking scientific validation.
Special Needs Plans (SNPs) are driving significant growth in Medicare Advantage enrollment in 2025, with chronic condition and dual-eligible SNPs leading gains. Institutional SNPs decline amid evolving care models.
FirstMedicare Direct will close operations by end of 2025, affecting 6,000 Medicare Advantage members. This exit highlights challenges in the Medicare Advantage insurance market.
Medicare Advantage market pivots from growth-at-any-cost to profitability-first amid CMS regulatory tightening and rising medical costs. Key strategic shifts include operational efficiency, agility in member services, and investment in clinical programs to improve outcomes and reduce total care costs.
Explore essential insights into Medigap Plans F, G, and N, focusing on coverage, enrollment periods, and regulatory nuances critical for U.S. insurance professionals advising Medicare beneficiaries.
