The U.S. government passed H.R. 5371, ending the shutdown and extending Medicare telehealth flexibilities through January 2026, ensuring continued coverage and retroactive payments for telehealth claims.

CMS introduces the Ambulatory Specialty Model, a new mandatory payment model for specialists treating low back pain and heart failure, effective from 2027 to improve care quality and reduce costs.

Medicare Part B premiums will increase by nearly 10% in 2026, consuming much of seniors' Social Security COLA and raising out-of-pocket costs amid regulatory efforts to control spending.

Examining Aetna's new inpatient payment policy for Medicare Advantage plans, its conflicts with Medicare's Two-Midnight Rule, and implications for hospital reimbursement and compliance.

Medicare Part B premiums increase to generate $14 billion in revenue amid rising outpatient and managed care costs, impacting seniors and Medicare Advantage plans.

Banner Health's insurance plan integrates health system data and AI technology to improve care coordination, compliance, and member experience in Medicare and Medicaid markets.

Atlantic American reports Q3 net income of $0.6M, reversing prior loss with growth in premium revenue and unrealized investment gains across key insurance lines.

Elevance Health stock appears undervalued based on discounted cash flow and P/E ratio analyses amid ongoing healthcare reforms and Medicare Advantage shifts. Learn key valuation insights for U.S. health insurance market investors.

Medicare Advantage plans are advancing outcomes by integrating clinical excellence, AI-driven engagement, health literacy, and community partnerships to support holistic member care.

Two men sentenced for leading a $17M Medicare fraud involving unnecessary genetic testing and falsified clinical laboratory enrollment. DOJ and HHS investigations highlight regulatory compliance risks.