US Diabetes Treatment Costs Hit $153B in 2021-2022 Driving Medicare and Private Payer Expenses

In 2021-2022, diabetes treatment costs in the U.S. totaled $153.2 billion, driven largely by Medicare and private insurance coverage, according to AHRQ MEPS data.

CMS WISeR Model Launches Tech-Enabled Prior Authorization in Six States

CMS initiates the WISeR Model in six states to employ AI-driven prior authorization, targeting reduced low-value services and Medicare spending under traditional fee-for-service programs.

Winter Engagement for Seniors in Philadelphia Enhances Wellbeing

Explore how Philadelphia seniors use local libraries, free SEPTA transit, and community programs to stay active and safe during winter months. Practical tips support senior wellbeing and mobility.

ACA Marketplace Coverage for 2026 Surpasses Prior Year Enrollment

ACA marketplace enrollment for 2026 coverage exceeds last year amid key Senate votes on premium tax credit extensions and marketplace policy changes.

Navigating Medicare and VA Benefits: Essential Guide for Veterans Turning 65

Clear guidance for veterans on managing Medicare and VA benefits at age 65. Understand cost implications, enrollment timing, prescription choices, and dental care options.

OSC Exposes $123M Medicaid Fraud and Understaffing in NJ Nursing Homes

The NJ Office of the State Comptroller uncovers $123 million Medicaid fraud, chronic understaffing, and falsified cost reports in Hammonton and Deptford nursing homes, detailing related-party profiteering and regulatory failures.

U.S. Ways and Means Committee Advances Key Bipartisan Bills Impacting Trade, Health, and Tax

Ways and Means Committee advances bipartisan bills including AGOA extension, home infusion access, and IRS reforms affecting insurance and trade sectors.

AmeriLife Partners with Tyler Insurance to Expand Medicare and Health Brokerage Reach

AmeriLife and Tyler Insurance Group form a strategic partnership to drive growth and agent support in Medicare and health insurance brokerage across the U.S., enhancing market outreach and operational integration.

Aveanna Healthcare Advances Home-Based Care with Strategic Acquisitions, AI, and Payer Partnerships

Aveanna Healthcare accelerates growth in home-based care through the acquisition of Thrive Skilled Pediatric Care, enhanced AI integration, and deep payer partnerships amid regulatory changes.

UnitedHealth Group Raises Premiums and Earnings Guidance Amid Medicare Pressures

UnitedHealth Group increases premiums by 20-30% and raises 2025 earnings guidance despite Medicare pressures and DOJ scrutiny, signaling efforts to stabilize margins and adapt to regulatory challenges in the U.S. insurance market.