CMS unveils new Medicaid community engagement requirements, aligning with federal programs to enhance sustainability and promote work participation among beneficiaries by 2027.

Emergency medicine faces financial challenges in 2026 with declining Medicare reimbursements, aggressive commercial payer cost-containment including AI-driven claim denials and downcoding, impacting independent providers.

Analysis of income trends, reimbursement challenges, and practice management strategies from an interventional pain physician navigating declining Medicare payments and rising operational demands.

Basys.ai recognized by CMS as a national finalist in the Crushing Fraud, Waste, and Abuse Challenge for its AI-powered prior authorization platform improving Medicare fraud detection and healthcare affordability.

Explore Medicaid intergovernmental transfers (IGTs) abuse, federal oversight challenges, and policy reform opportunities to restore Medicaid fiscal integrity and ensure equitable provider payments.

Learn about Medicare Special Enrollment Periods and EPIC program options for switching plans after the December 7 open enrollment deadline. Understand eligibility and enrollment steps.

Health insurance premiums, including ACA plans and Medicare, are rising sharply in 2026, impacting consumers and small businesses. Key drivers include subsidy expirations, healthcare cost inflation, and demographic pressures.

Physician sentenced to seven years for $24M Medicare fraud involving unnecessary cancer genetic tests and durable medical equipment kickbacks.

CMS issues new Medicaid work requirements starting 2027 for expansion adults, impacting eligibility, state systems, and coverage stability.

Key 2026 updates for retirement savings limits, Roth 401(k) catch-up rules, HSA contributions, and rising Medicare premiums and deductibles affecting retirement planning and insurance professionals.