INSURASALES

Tag: Medicare

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.

CMS Launches AI For Medicare Prior Authorization Across Six States

The Trump administration launches an AI-driven pilot program in six states to manage Medicare prior authorization, raising industry concerns over claim denials and AI incentives.

Medicare Launches AI-Driven Pilot to Review Medical Procedure Approvals

Medicare initiates an AI-based pilot program to aid in approving or denying certain medical procedures, raising considerations about healthcare administrative processes and payer-provider dynamics.

CMS Launches Prior Authorization Pilot in Traditional Medicare to Control Costs

CMS initiates a six-state pilot requiring prior authorization in traditional Medicare to target overuse and cut costs, testing expanded regulatory controls familiar in Medicare Advantage.

Medicare to Launch AI-Driven Prior Authorization Pilot for Traditional Procedures

The Medicare program will start an AI-driven prior authorization pilot for certain procedures in traditional Medicare, aiming to improve cost efficiency and coverage decisions. This initiative launches in six states with plans for potential expansion.

Trump Administration Healthcare Regulatory Agenda Update 2025

Overview of the 2025 federal healthcare regulatory agenda under the Trump administration, including Medicare rules, ACA integrity measures, and ongoing regulatory reviews impacting healthcare compliance and payer/provider operations.