CMS proposes extensive changes to the 2027 Medicare Advantage and Part D programs, including benefit design reforms, new enrollment rules, marketing policy updates, and modifications to quality ratings and special needs plans.
Medicare open enrollment runs through Dec. 7, 2025. Learn about key 2026 changes in Medicare Advantage and Part D plans, prescription drug costs, premium adjustments, and cost-saving programs.
Mohammed Asif sentenced to two years in prison for a Medicare fraud scheme involving over $1 million in false COVID-19 test claims, underscoring ongoing regulatory and compliance challenges in healthcare billing.
Georgia man sentenced for $24M Medicare genetic testing kickback scheme; FDA warns on lead in cookware; new guidance limits primate testing in drug development.
Mindpath Care Centers agrees to a $1.9 million settlement over false Medicare psychotherapy claims, highlighting ongoing Medicare billing compliance enforcement.
Explore critical limitations of Medicare Advantage plans including network restrictions, increased denials, and coverage gaps compared to traditional Medicare. Understand implications for retirees' healthcare choices.
The New Democrat Coalition released a Health Care Action Plan targeting healthcare affordability, access expansions, and protections for Medicaid and Medicare, proposing over 45 actionable policy reforms. The plan addresses cost reduction, rural healthcare support, behavioral health, women's health services, and counters health misinformation.
Overview of US Congressional healthcare legislation, FDA's AI modernization, CMS payment reforms, and key trade agreements influencing the insurance landscape in 2025.
The House passes a bill extending Medicare hospital-at-home funding, while ACA subsidies face expiration, risking premium spikes for millions. Health insurers and policymakers navigate regulatory uncertainties and market impacts ahead.
AHA and coalition urge CMS to adjust Medicare programs to prevent financial penalties on ACOs and MIPS clinicians for increased skin substitute billing linked to inefficiency and fraud.
