CMS initiates survey collecting hospital outpatient drug acquisition costs to align Medicare payments with actual costs under the 2026 OPPS update, following a federal Executive Order to reduce prescription drug expenses.

Dr. Mehmet Oz discussed the role of healthy eating in sustaining Medicare during the program's 60th anniversary, highlighting the intersection of preventive health and insurance policy.

Understand how Original Medicare and Medicare Advantage plans cover individuals living in two states, including network restrictions, pharmacy access, and telehealth benefits.

Middletown faces scrutiny over unclear public spending and infrastructure planning, while Rhode Island Medicare Advantage plans drop key hospitals from network, impacting patient costs and care continuity.

Study reveals significant growth in payer-operated physician practices in Medicare primary care from 2016-2023, led by Optum with market trends linked to Medicare Advantage penetration and regional factors.

Medicare Advantage plans serving 30 million Americans may face cuts or changes due to rising medical utilization and costs. This impacts benefits, networks, and out-of-pocket costs, making the Medicare Annual Election Period critical for plan comparisons.

Analyze how Cigna outperforms UnitedHealth in the U.S. managed care sector amid rising medical costs and regulatory challenges. Insights on earnings, valuation, and sector strategy.

CMS approves Medicare coverage for Abbott's TriClip G5 device, expanding access to minimally invasive tricuspid valve repair for eligible beneficiaries.

Clover Health launches a New Jersey pharmacy pilot targeting medication adherence and hospitalization cuts to improve Medicare Advantage margins and unlock growth potential.

The DOJ is probing UnitedHealth Group's Medicare Advantage payment practices, with focus on diagnosis coding and compliance. The investigation involves FBI and HHS and impacts stock value amid healthcare sector scrutiny.