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Upcoming Deadline for 2026 Medicare Advantage Plan Enrollment
Medicare Advantage Annual Enrollment Period ends soon; eligible seniors can enroll in plans covering vision, dental, and prescriptions for 2026.
CMS Renews Quest Analytics Contract for Medicare Advantage Network Adequacy
CMS extends contract with Quest Analytics for five years to support Medicare Advantage network adequacy evaluations using advanced provider data solutions.
2026 Social Security COLA Impacted by Rising Medicare Costs and Plan Premiums
The 2026 Social Security cost of living adjustment is effectively reduced by rising Medicare premiums and healthcare costs, impacting retiree income and benefits.
CMS Launches AI-Driven Prior Authorization Model for Traditional Medicare in 2026
CMS to implement the WISeR Model in 2026, using AI tools for prior authorization in traditional Medicare, aiming to streamline utilization management and control costs.
Medicare 2026: Rising Part B Costs, Shrinking Part D Plans, and Advantage Changes
Medicare in 2026 will see notable premium hikes, fewer prescription drug plans, and changes in Medicare Advantage availability. Understand the impact on coverage choices and costs to prepare for open enrollment.
CMS Ends Kidney Care Payment Model, Updates Home Health and Chronic Care Initiatives
CMS will end the kidney care payment model early and adjust Medicare home health reimbursements in 2026. A new 10-year program supports tech adoption for chronic disease management.
Federal Move to Cut Obesity Drug Prices Expands Medicare Coverage
The federal government lowers obesity drug prices and expands Medicare coverage, impacting millions of patients and primary care providers with new access and cost structure.
CMS Renews Contract with Quest Analytics for Medicare Advantage Network Oversight
The Centers for Medicare & Medicaid Services renews Quest Analytics contract to enhance Medicare Advantage network adequacy reviews and compliance oversight for better access to care.
Medicare AI Claims Review Pilot Launches in Six States, Raising Provider Concerns
A new Medicare pilot program using AI for claims review will launch in six states, including Arizona, sparking provider concerns over care denials and increased administrative processes.