The Apples-to-Apples Comparison Act promotes transparency in Medicare by requiring standardized data comparing Medicare Advantage and traditional Medicare, helping seniors make informed choices.

Medicare delays $7.8B hospital drug cost clawback, appeals MA audit ruling, and adds cardiac ablations to ambulatory surgery coverage for 2026.

CMS finalizes the 2026 Medicare OPPS and ASC payment rates with a 2.6% increase, including quality reporting penalties and maintained 340B payment adjustments.

Wellcare expands Medicare Advantage coverage to 51 million beneficiaries and transitions Medicare-Medicaid Plans to integrated Dual Eligible Special Needs Plans in 2026, enhancing care coordination.

The DOJ expands its Health Care Fraud Strike Force to Massachusetts, enhancing multi-agency efforts against healthcare fraud and corporate misconduct in the healthcare sector.

Medicare Part D's coverage gap, known as the Donut Hole, is eliminated in 2025 with a new three-phase benefit and $2,000 out-of-pocket cap, enhancing cost predictability and managing prescription drug expenses for beneficiaries.

Federal report exposes inflated mental health provider directories in Medicare Advantage and Medicaid managed care plans, highlighting access challenges and regulatory compliance issues.

SCAN Health Plan strategic response to Medicare patient challenges highlights healthcare system inefficiencies and innovation in Medicare managed care.

Medicare 2026 premiums surge nearly 10%, with fewer Medicare Advantage plans as insurers scale back. Explore key Medicare cost drivers and market impacts.

Health First Urgent Care agrees to $2.8 million settlement for Medicare and Medicaid overbilling linked to improper diagnostic test billing practices in Washington State.