The AHCA is actively seeking Medicare Advantage data from providers to ensure compliance with prior authorization and regulatory guidelines, while studies reveal key unmet needs pushing seniors with dementia toward nursing homes.

Explore how initial enrollment in Medicare Advantage plans affects the ability to switch back to original Medicare and obtain Medigap coverage without penalties or underwriting issues.

In 2025, the SSA notified over 850,000 ZIP codes about Medicare programs like Extra Help and Medicare Savings Programs that aid with medical and prescription costs. Many eligible beneficiaries remain unaware of these savings opportunities.

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.

The One Big Beautiful Bill Act enacts historic Medicaid cuts and ACA subsidy reductions, raising premiums and insurer withdrawals, impacting millions and state budgets.

CMS releases 2026 Medicare payment reforms focusing on site-neutral payments, alongside Medicaid financing reforms in the One Big Beautiful Bill and updates on Part D bids influenced by the Inflation Reduction Act.

Explore the implications of the 2025 One Big Beautiful Bill Act on Medicare and Medicaid programs, focusing on coverage changes, eligibility hurdles, and the impact on rural hospitals and long-term care.