Paragon Health Institute reveals a $27 billion surge in Affordable Care Act enrollment fraud in 15 states, driven by misreported income and lax verification processes during 2025 open enrollment.

AARP collects nearly $1 billion annually through licensing fees from Medicare Advantage plans, raising conflict of interest concerns amid federal investigations and calls for regulatory reforms in Medicare policy and marketing practices.

U.S. Senate Republicans are reviewing Medicare Advantage upcoding practices to reduce federal spending and support tax cut proposals, focusing on reforming provider payment inflation.

MedPAC calls for federal reform of nursing home Five-Star ratings, emphasizing staffing and alternative quality metrics to improve long-term care under Medicare.

House Republicans' Medicaid cuts jeopardize behavioral health access for millions, impacting vulnerable and rural communities with high mental illness and opioid overdose rates.

The Trump administration signals readiness to revise Medicare if Senate uncovers fraud, while denying plans for cuts. Medicaid cuts remain a focal budget concern amid Senate review.

The Resident Physician Shortage Reduction Act of 2025 seeks to add 14,000 Medicare-funded residency slots over seven years to combat the growing U.S. physician shortage, with a focus on rural and underserved communities.

Medicare's underpayment to physicians is accelerating the U.S. doctor shortage and threatening healthcare access. Proposed payment reforms aim to realign Medicare reimbursement with practice costs and value-based care.

Explore how Medicaid work requirements and federal funding incentives influence coverage priorities and policy reforms, with implications for vulnerable populations and state programs.

House Speaker Mike Johnson confirms Republican plans to cut Social Security, Medicare, and Medicaid amid federal budget reform efforts impacting millions of Americans' access to healthcare and benefits.