Explore how the expansion of Medicare Advantage plans affects rural hospitals, reimbursement rates, patient access, and marketing practices impacting Medicare beneficiaries and healthcare providers in the U.S.

Medicare Part B premiums will increase by nearly 10% in 2026, consuming much of seniors' Social Security COLA and raising out-of-pocket costs amid regulatory efforts to control spending.

Medicare Part B premiums increase to generate $14 billion in revenue amid rising outpatient and managed care costs, impacting seniors and Medicare Advantage plans.

CMS unveils the GENERous Medicaid payment model introducing MFN drug pricing, alongside expanded Trump administration drug pricing agreements and key regulatory updates for 2026.

The CMS-funded GUIDE Program enhances dementia care with coordinated, personalized support for Medicare beneficiaries and caregivers in community settings.

The U.S. government passed H.R. 5371, ending the shutdown and extending Medicare telehealth flexibilities through January 2026, ensuring continued coverage and retroactive payments for telehealth claims.

CMS introduces the Ambulatory Specialty Model, a new mandatory payment model for specialists treating low back pain and heart failure, effective from 2027 to improve care quality and reduce costs.

Examining Aetna's new inpatient payment policy for Medicare Advantage plans, its conflicts with Medicare's Two-Midnight Rule, and implications for hospital reimbursement and compliance.

Banner Health's insurance plan integrates health system data and AI technology to improve care coordination, compliance, and member experience in Medicare and Medicaid markets.

Atlantic American reports Q3 net income of $0.6M, reversing prior loss with growth in premium revenue and unrealized investment gains across key insurance lines.