Medicare Wastes $3.6 Billion Annually on Low-Value Care, Study Finds
New study reveals Medicare spends $3.6 billion annually on low-value medical services, with $800M in patient costs. Policy changes could reduce waste and improve value.
New study reveals Medicare spends $3.6 billion annually on low-value medical services, with $800M in patient costs. Policy changes could reduce waste and improve value.
CMS's 2026 Medicare Physician Fee Schedule proposal emphasizes value-based payment increases, expanded telehealth flexibilities, new chronic care payment models, and significant Medicare spending reductions for skin substitutes.
Recent Republican-led legislative changes delay Medicare drug price negotiations for costly cancer treatments, maintaining high patient costs and impacting seniors and disabled Americans.
CMS is considering a pilot program to cover GLP-1 drugs for obesity under Medicare and Medicaid, reversing earlier policy. This evolving coverage changes obesity drug access for patients and payers.
Marking 60 years of Medicare and Medicaid, recent legislation threatens major cuts increasing costs and reducing coverage for millions, including New Hampshire residents.
In 2025, the SSA notified over 850,000 ZIP codes about Medicare Extra Help and Medicare Savings Programs, emphasizing eligibility criteria and benefits available to reduce beneficiaries' out-of-pocket costs on prescription drugs and medical expenses.
Analysis shows rising exits of primary care physicians from Medicare fee-for-service, highlighting access challenges for older adults and shifts to Medicare Advantage and direct primary care models.
Federal budget changes could cut Medicaid and Medicare funding in Connecticut, risking coverage for 175,000 residents and impacting the state economy.
Senate Democrats introduce legislation to reverse Republican healthcare cuts and permanently extend ACA premium tax credits, impacting coverage for millions.
New federal Medicaid funding cuts set to remove coverage from 140,000 Minnesotans by 2027, escalating state healthcare costs and administrative challenges.