Projected 2026 employer health insurance cost increases require a three-part reform including capping out-of-pocket expenses, uniform provider pricing, and hospital budgeting to improve affordability and efficiency in the U.S. health care system.

Medicare Part B premiums increase 9.2% for 2026 as ACA subsidy expiration looms, impacting 22 million enrollees. CMS proposes cost-sharing reductions and new tools on Medicare.gov to manage rising healthcare costs.

Georgia man sentenced to 46 months and $7.2M restitution for illegal Medicare kickbacks tied to unnecessary genetic tests, reflecting enforcement on healthcare fraud.

Pandemic health care subsidies ending soon may double ACA premiums without Congressional renewal. Medicare open enrollment deadline approaches amid health policy updates.

Nearly 70 million Medicare beneficiaries face an upcoming open enrollment deadline, with potential for significant healthcare cost savings by timely plan selection. Resources like Medicare.gov provide essential information.

CMS updates Medicare Advantage policy to allow insurance coverage for federally and state-legal CBD products, amid evolving hemp regulatory definitions and market challenges.

Patrick Moore Jr. sentenced to 46 months and $7.2M restitution for Medicare fraud involving unnecessary genetic testing and illegal kickbacks.

Medicare Advantage plans in Rochester-Finger Lakes are terminating in 2026, requiring beneficiaries to select new plans by Dec 7 or revert to Original Medicare with higher costs. Understand the implications for prescription costs and coverage changes.

CMS's WISeR Model introduces AI-powered prior authorization for Medicare outpatient procedures, impacting approval times and denials in six states starting 2026.

CMS releases Proposed 2027 Rules for Medicare Advantage and Part D, emphasizing Star Ratings simplification, marketing oversight updates, expanded risk adjustment data use, and Part D redesign implementation.