CMS Administrator Dr. Mehmet Oz prioritizes eliminating $100B waste, fraud, and abuse in Medicare and Medicaid to protect federal health spending and vulnerable beneficiaries.

Explore the policy and market implications of default enrollment into Medicare Advantage versus traditional Medicare, including impacts on beneficiaries, insurers, providers, and federal budgets.

Early oral combination lipid-lowering therapy with ezetimibe and statins lowers major adverse cardiovascular events after myocardial infarction, highlighting the need for timely treatment escalation in post-MI care.

Explore Medicaid assisted living coverage challenges and eligibility in Arizona, including state-specific rules, federal funding impacts, and alternatives like the PACE program.

Ascension and Blue Cross Blue Shield Illinois report healthcare data breaches; Atrium Health wins hospital expansion in NC; Elevance Health cuts Medicare Advantage marketing amid legal challenges; Sutter Health settles antitrust lawsuit; AI used to reduce clinical burnout.

Devoted Health grows membership and revenue in the competitive private health insurance market for seniors, reflecting shifts in Medicare Advantage offerings and market dynamics.

AmeriLife enhances its Health Distribution platform through a new partnership with Senior Health Insurance Direct, expanding agent recruitment and training capabilities nationwide.

Politico’s use of sponsored content from health insurance and fossil fuel industries raises ethical questions about transparency and editorial independence, impacting U.S. Medicare Advantage and policy discourse.

Explore how U.S. employers are adopting value-based care models to improve employee health benefits, increase retention, and manage healthcare costs effectively through personalized plans, preventive care, benefits literacy, and price transparency.

A major U.S. insurer is set to increase its workforce by 12,000 roles in 2025, reflecting strategic growth and enhanced operational capacity in the insurance sector.