Explore the 2026 Medicare payment updates for hospice, rehab, and psychiatric care, hospital efficiency initiatives amid rising costs, and growing use of agentic AI in healthcare settings.
Effective November 2025, Aetna changes Medicare Advantage inpatient admission payments under the Two-Midnight Rule, impacting hospital reimbursements and billing practices.
Study reveals Medicare spends $4.4 billion annually on low-value tests and procedures in older adults, urging evidence-based reforms to reduce waste and enhance care quality.
Explore the latest developments in Medicare for 2025 including UnitedHealthcare's market exits, anticipated drug price increases, new rural hospital funding legislation, and changes to Medicare Savings Programs affecting coverage and costs.
Trump administration's new health data sharing initiative involves major tech companies to improve patient access to health records, focusing on interoperability, AI-driven tools, and data privacy concerns.
The AMA report reveals high market concentration among pharmacy benefit managers (PBMs), vertical integration with insurers, and calls for increased transparency and regulatory reforms to control drug prices and enhance competition.
The AHCA is actively seeking Medicare Advantage data from providers to ensure compliance with prior authorization and regulatory guidelines, while studies reveal key unmet needs pushing seniors with dementia toward nursing homes.
Blue Cross Blue Shield Michigan and Blue Care Network promote proactive provider engagement for the 2025 Medicare Advantage Health Outcomes Survey, focusing on incontinence and fall prevention to improve health outcomes.
Explore how initial enrollment in Medicare Advantage plans affects the ability to switch back to original Medicare and obtain Medigap coverage without penalties or underwriting issues.
In 2025, the SSA notified over 850,000 ZIP codes about Medicare programs like Extra Help and Medicare Savings Programs that aid with medical and prescription costs. Many eligible beneficiaries remain unaware of these savings opportunities.
