Seven major U.S. healthcare corporations avoided $34 billion in taxes after the 2017 tax law while increasing profits and insurance claim denials, with implications for patient care quality and regulatory scrutiny.

Explore effective strategies for U.S. healthcare professionals to navigate and overcome prior authorization denials, including regulatory context, appeals process insights, and advocacy tools.

SCAN Group launches a multi-media campaign exposing systemic problems in Medicare Advantage insurance, focusing on coverage gaps, patient access issues, and the impact on healthcare costs during Medicare enrollment.

Explore the impact of major Medicaid cuts, ACA subsidy eliminations, nursing home funding delays, and healthcare cost increases following the 2026 federal budget changes affecting the U.S. healthcare system.

CMS delays the Medicare Advantage rule requiring midyear reminders about unused supplemental benefits to 2026, addressing insurers' readiness and data tracking challenges.

New algorithmic approaches improve fairness in Medicare Advantage payment models, promoting equitable spending for minority beneficiaries without reducing predictive accuracy.

Explore how Medicare Advantage's growth reshapes retiree coverage, employer health benefits, and taxpayer costs amid evolving Medicare policy and enrollment trends.

Rural hospitals in New Hampshire face growing financial losses due to increased Medicare Advantage enrollment, driven by lower reimbursements and administrative complexities, impacting patient care and hospital operations.

The Trump administration launches an AI-driven pilot program in six states to manage Medicare prior authorization, raising industry concerns over claim denials and AI incentives.

CMS initiates a six-state pilot requiring prior authorization in traditional Medicare to target overuse and cut costs, testing expanded regulatory controls familiar in Medicare Advantage.