Medicare Coverage and Mental Health Support for Older Adults
Explore mental health challenges among seniors and how Medicare Advantage and Part D plans support treatment, therapy, and prevention for older adults.
Medicare Advantage Growth Strains New Hampshire Rural Hospitals Financially
Rural hospitals in New Hampshire face growing financial losses due to increased Medicare Advantage enrollment, driven by lower reimbursements and administrative complexities, impacting patient care and hospital operations.
Milliman 2025 Retiree Health Cost Index: Average Couple Needs $388K for Retirement Healthcare
Milliman's 2025 Retiree Health Cost Index estimates a $388,000 healthcare savings need for a typical 65-year-old couple, highlighting cost trends influenced by coverage type and regulation.
Advances in Perioperative Immunotherapy for Muscle-Invasive Bladder Cancer
Explore new perioperative treatment strategies for muscle-invasive bladder cancer, focusing on immunotherapy integration to improve outcomes in patients, including those ineligible for cisplatin chemotherapy.
CMS Launches AI For Medicare Prior Authorization Across Six States
The Trump administration launches an AI-driven pilot program in six states to manage Medicare prior authorization, raising industry concerns over claim denials and AI incentives.
Medicare Launches AI-Driven Pilot to Review Medical Procedure Approvals
Medicare initiates an AI-based pilot program to aid in approving or denying certain medical procedures, raising considerations about healthcare administrative processes and payer-provider dynamics.
CMS Launches Prior Authorization Pilot in Traditional Medicare to Control Costs
CMS initiates a six-state pilot requiring prior authorization in traditional Medicare to target overuse and cut costs, testing expanded regulatory controls familiar in Medicare Advantage.
Medicare to Launch AI-Driven Prior Authorization Pilot for Traditional Procedures
The Medicare program will start an AI-driven prior authorization pilot for certain procedures in traditional Medicare, aiming to improve cost efficiency and coverage decisions. This initiative launches in six states with plans for potential expansion.
Trump Administration Healthcare Regulatory Agenda Update 2025
Overview of the 2025 federal healthcare regulatory agenda under the Trump administration, including Medicare rules, ACA integrity measures, and ongoing regulatory reviews impacting healthcare compliance and payer/provider operations.
Key Medicare Enrollment Strategies to Reduce Retirement Healthcare Costs
Explore essential Medicare enrollment strategies and supplemental coverage options to control rising healthcare costs for retirees. Learn about enrollment periods, penalties, and annual plan reviews for better retirement healthcare planning.