Medicare faces growing financial challenges with rising costs and insolvency risks. Strategic reforms in funding, premiums, and Medicare Advantage are crucial for program sustainability and senior care access.
Medicaid work requirements proposed in the 2026 budget risk millions losing coverage, increasing administrative costs, and worsening care access for disabled and vulnerable populations, with states like Arkansas and Georgia illustrating key challenges.
UnitedHealthcare's HouseCalls program enhances Medicare Advantage with comprehensive in-home visits, reducing costs and improving outcomes. Explore how this model supports preventive care and chronic condition management for seniors.
Montana Gov. Greg Gianforte vetoed several bills impacting healthcare coverage and workers' compensation, citing cost concerns and fiscal responsibility amid budget challenges.
Federal budget cuts to Medicaid and the ACA could leave 16 million Americans uninsured, with Georgia particularly vulnerable due to its Medicaid policies and high uninsured rates.
Research shows that Medicaid cuts risk severing crucial patient-primary care connections, leading to worse health outcomes and higher costs. Stable insurance ensures preventive care and lowers emergency visits and spending.
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.
