Overview of STAT's Health Policy Coverage and Subscription Services
A summary of STAT's health policy news coverage and subscription-based access, highlighting vaccine skepticism and Medicare's 60th anniversary within U.S. healthcare context.
Congressional Opposition Mounts Against CMS Medicare Prior Authorization Expansion
Congresswoman Maggie Goodlander and colleagues urge CMS to halt the proposed expansion of prior authorization in Traditional Medicare, citing risks to patient care and administrative burdens.
2026 Medicare Part D Updates: Premium Increases, Penalties, and Cost Caps
Explore the 2026 Medicare Part D updates including premium increases, delayed enrollment penalties, and maximum out-of-pocket caps for prescription drugs, with insights into Medicare Advantage plan impacts.
CMS Proposes Voluntary Medicaid and Medicare GLP-1 Coverage Trial
CMS plans a voluntary five-year trial allowing state Medicaid and Medicare Part D plans to cover GLP-1 weight management drugs, including Ozempic and Wegovy, starting in 2026-27 amid pricing and coverage challenges.
Medicaid Coverage for Nursing Home Care: Eligibility, Risks, and Financial Pressures
Explore Medicaid's role in funding nursing home care, eligibility requirements, risks of coverage loss, and financial pressures facing providers and states amid a rising senior population.
Understanding the Medicare Cliff: Transitioning from Medicaid at 65
Explore the Medicare cliff phenomenon where older adults lose Medicaid coverage at 65, leading to increased Medicare costs and coverage changes. Understand eligibility, cost differences, and programs to ease the transition.
Medicare LI NET Program Offers Temporary Drug Coverage for Low Income Beneficiaries
The Medicare LI NET program provides temporary prescription drug coverage without restrictions to low income beneficiaries not yet enrolled in a Part D plan, ensuring seamless access during the transition period.
Rodney Powell Named Top-Rated Medicare Agent in Texas for 2025
Rodney Powell, aka the Medicare Video Guy, earns top Medicare agent ranking in Texas for 2025, recognized for personalized Medicare Supplement, Advantage, and drug coverage guidance.
Michigan Health Market Review 2024 Highlights Medicaid Enrollment Decline and Hospital System Consolidation
The 2024 Michigan Health Market Review details Medicaid enrollment declines, growth in Medicare Advantage and individual plans, and hospital system consolidation impacting payer and provider finances.
Senators Propose Bill to Tighten Medicare Advantage Risk Adjustment, Curb Overpayments
Senators introduce bipartisan bill targeting Medicare Advantage overpayments by refining risk adjustment and supporting CMS audits to enhance program integrity and save Medicare billions.