CMS proposes to cancel the rule requiring Medicare Advantage plans to notify beneficiaries of unused supplemental benefits amid low utilization and administrative challenges.

CMS proposes extensive changes to the 2027 Medicare Advantage and Part D programs, including benefit design reforms, new enrollment rules, marketing policy updates, and modifications to quality ratings and special needs plans.

Medicare open enrollment runs through Dec. 7, 2025. Learn about key 2026 changes in Medicare Advantage and Part D plans, prescription drug costs, premium adjustments, and cost-saving programs.

The House Committee on Veterans’ Affairs advances H.R. 6047 to increase compensation benefits for catastrophically disabled veterans and survivors, addressing benefit stagnation since 1993 with new funding offsets. Concerns arise over H.R. 4077 impacting Medicare Advantage plans.

Mohammed Asif sentenced to two years in prison for a Medicare fraud scheme involving over $1 million in false COVID-19 test claims, underscoring ongoing regulatory and compliance challenges in healthcare billing.

Georgia man sentenced for $24M Medicare genetic testing kickback scheme; FDA warns on lead in cookware; new guidance limits primate testing in drug development.

Mindpath Care Centers agrees to a $1.9 million settlement over false Medicare psychotherapy claims, highlighting ongoing Medicare billing compliance enforcement.

Thirty-three major U.S. hospital systems are discontinuing Medicare Advantage contracts due to prior authorization and payment challenges, affecting network coverage and Medicare plan efficiency.

Explore critical limitations of Medicare Advantage plans including network restrictions, increased denials, and coverage gaps compared to traditional Medicare. Understand implications for retirees' healthcare choices.

Humana and UnitedHealthcare approve Medicare Advantage coverage for Lifeward's ReWalk 7 exoskeleton, enhancing access for spinal cord injury patients and supporting scalable growth.