A Berkeley Research Group report reveals Traditional Medicare could save $7 billion by adopting Medicare Advantage utilization and fraud strategies, reducing overspending on services like skin substitutes and genetic testing.
High call volumes and limited caller ID on landlines during Medicare enrollment cause missed calls; email notifications are limited to daily updates only when new information arrives.
Explore AMA's advocacy on Medicare prior authorization reform, FDA's TEMPO pilot for digital health, CMS policy challenges, and proposed HIPAA cybersecurity updates impacting U.S. healthcare providers.
A new scam targeting veterans uses mailed cards promising free dental coverage to mislead recipients into contacting Medicare supplemental insurance sellers. This highlights ongoing challenges in insurance marketing compliance and consumer protection for veterans.
CMS introduces the WISeR Model in six states to optimize prior authorization using AI, aiming to reduce low-value services and Medicare costs starting 2026.
Analysis reveals higher administrative and financial burdens for Medicare Advantage enrollees with multiple chronic conditions, highlighting the impact of managed care on treatment complexity.
CMS finalizes the mandatory Ambulatory Specialty Model in Medicare, expanding value-based care to specialists treating chronic conditions with two-sided financial risk and collaborative care requirements.
Understanding how IRS tax filing status influences Medicare Part B and Part D premiums through IRMAA thresholds and income reporting for optimal Medicare enrollment planning.
CMS initiates the WISeR pilot program using AI for prior authorization in traditional Medicare, prompting debate on administrative burden, patient care impact, and cost savings.
Polling shows increasing worry among Americans about Medicare and Social Security's financial outlook, reflecting uncertainty in US health policy and insurance markets amid legislative changes.
