Medicare Advantage plans in Rochester-Finger Lakes are terminating in 2026, requiring beneficiaries to select new plans by Dec 7 or revert to Original Medicare with higher costs. Understand the implications for prescription costs and coverage changes.

CMS's WISeR Model introduces AI-powered prior authorization for Medicare outpatient procedures, impacting approval times and denials in six states starting 2026.

CMS releases Proposed 2027 Rules for Medicare Advantage and Part D, emphasizing Star Ratings simplification, marketing oversight updates, expanded risk adjustment data use, and Part D redesign implementation.

Nearly 70 million Medicare beneficiaries face the approaching open enrollment deadline. Learn how to navigate Medicare.gov for enrollment and potential cost savings.

Medicare Part D faces significant plan reductions and rising costs in 2026. Beneficiaries must review their drug plans before the December 7 deadline to avoid premium hikes and coverage losses.

An Everett-based lab operator was sentenced to prison for a $1.17M Medicare fraud scheme involving fraudulent billing for unperformed COVID-19 and respiratory tests. The case underscores ongoing regulatory challenges.

Verda Health Plan of Texas provides multilingual assistance for enrollment and features $0 co-pay on primary and specialist care, inpatient hospitalization, and urgent care. Enrollment open through December 7th.

Rising Medicare premiums, deductibles, and coinsurance rates in 2026 increase retiree healthcare expenses. Medicare supplemental insurance can help manage these escalating costs.

CMS introduces ACCESS model to enhance technology-supported care and outcome-based payments for Medicare patients with chronic conditions starting in 2026.

Humana appeals CMS over Medicare Advantage star ratings, contesting calculation methods and evaluation processes affecting bonuses and plan ratings.