Explore UnitedHealthcare’s extensive 2026 policy and program updates for Medicare, Medicaid, and commercial health plans, including coverage expansions, referral changes, and streamlined prior authorizations.
Starting in 2026, Washington state will implement an AI-driven prior authorization pilot for traditional Medicare, raising new compliance and access challenges. Learn about the pilot's impact on Medicare claims processing and healthcare providers.
Medicare's Inflation Reduction Act negotiations cut prices for 15 top prescription drugs by 44%, reducing out-of-pocket costs and impacting Medicare Part D and Part B markets.
CMS announces reduced prices for 15 key Medicare Part D drugs starting in 2027, following the Inflation Reduction Act negotiations, targeting major cost savings in Medicare spending.
Medicare open enrollment from Oct. 15 to Dec. 7 provides beneficiaries a chance to review and adjust their healthcare plans with support from SHINE counselors. Learn how to optimize coverage and manage costs effectively.
Explore underused Medicare CPT and HCPCS codes in primary care that can improve care coordination and stabilize practice revenue. Learn practical strategies for adoption and compliance.
Medicare open enrollment closes Sunday with heightened scam risks. Seniors urged to protect information and use local resources like Emporia Friendship Center for enrollment help.
A national study reveals significant racial disparities in physician payments for outpatient care, driven largely by Medicaid reimbursement differences, highlighting systemic inequities in US healthcare.
CMS implements new 2025 policies for Workers’ Compensation Medicare Set-Asides, enhancing reporting, eliminating the Amended Review waiting period, and ceasing $0 WCMSA reviews to improve Medicare Secondary Payer compliance.
The Trump administration finalizes agreements reducing Medicare prices for 15 drugs, aiming to save billions and impact Medicare Part D plans and drug affordability policies.
