Tag: Medicare

Insurance Churn Reduces Prevention Investment, Worsening U.S. Health Outcomes

Explore how frequent health insurance churn in the U.S. reduces insurers' incentives to invest in preventive care and chronic disease management, worsening health outcomes and increasing costs.

CMS Launches AI-Driven Prior Authorization Pilot for Traditional Medicare in Washington

CMS to start AI-driven prior authorization pilot for traditional Medicare in Washington and five other states in 2026, targeting low-value procedures to reduce waste and improve compliance while maintaining clinician oversight.

CMS Extends and Enhances AHEAD Model to Advance Cost Control and Prevention

CMS extends the AHEAD Model to 2035, introducing payment reforms and transparency to improve Medicare cost control, prevention, and population health outcomes.

Medicare Advantage's Growth Shifts Coverage Landscape for Retirees

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

Policy Focus on Medicaid Reform, Rural Healthcare and Economic Growth in Southeast Iowa

Rep. Mariannette Miller-Meeks outlines Medicaid reforms, rural healthcare funding, and economic growth initiatives for Southeast Iowa, emphasizing sustainability and community engagement requirements.

2026 Social Security COLA Rise Eroded by Medicare Premium Increases

Social Security benefits in 2026 will increase by 2.7%, but rising Medicare Part B and D premiums will significantly reduce the net gain for retirees, highlighting challenges in healthcare cost inflation and COLA calculations.

AdvaMed Urges CMS to Reconsider Medicare Competitive Bidding for Medical Equipment

AdvaMed raises patient safety and legal concerns over CMS's proposed Medicare competitive bidding programme restart for durable medical equipment and devices.

Medicare Coverage Limits on Routine Dental and Sensory Care for Seniors

Medicare covers essential dental and sensory treatments for seniors but excludes routine check-ups and preventive care, impacting senior health insurance planning.

Medicare Coverage and Mental Health Support for Older Adults

Explore mental health challenges among seniors and how Medicare Advantage and Part D plans support treatment, therapy, and prevention for older adults.

Milliman 2025 Retiree Health Cost Index: Average Couple Needs $388K for Retirement Healthcare

Milliman's 2025 Retiree Health Cost Index estimates a $388,000 healthcare savings need for a typical 65-year-old couple, highlighting cost trends influenced by coverage type and regulation.