With significant changes to Medicare, Medicaid, and other components of President Trump’s One Big Beautiful Bill Act (OBBBA), ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

Americans are badly misinformed about the basics of long-term care, a point driven home in numerous surveys and studies. One ...

The pharmaceutical industry is criticizing the Trump administration’s plan for carrying out a critical round of Medicare drug ...

This is part one of a three-part article on policy issues in the Medicare Physician Fee Schedule. The topics covered include: ...

Many seniors mistakenly believe Medicare pays for long-term or assisted living care. Here’s what’s actually covered—and what ...

Many adults approaching retirement expect that Medicare will pay for nursing care in the event of disability. It won't.

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

Court ruling means 100% of Alignment’s members now enrolled in plans rated 4 stars or greaterORANGE, Calif., July 08, 2025 ...

Officials said they had "identified suspicious activity related to unauthorized creation of certain beneficiary online ...

As healthcare continues its shift toward outpatient care and value-based models, orthopedic surgeons are finding themselves at the intersection of payer dynamics and clinical innovation. Brett Shore, ...

A major study examining prescription costs for Medicare Advantage seniors found that real-time prescription benefit tools failed to reduce medication expenses for elderly patients. Researchers ...