Thousands of people lost coverage over as little as $8 in delinquent payments. They didn't know their zero-dollar premiums ...

A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and ...

Medicare beneficiaries are receiving new cards due to issues with their numbers, prompting concerns about legitimacy and potential fraud.

Does Medicare pay for GLP-1 drugs like Ozempic for weight loss? For years, the answer has been a hard no. But a new “Bridge” ...

A Medicare Advantage lawsuit could affect 2027 plan ratings and benefits. Learn what the CMS review means and why ...

The letter to the CMS from Democrats is the latest salvo from lawmakers concerned that WISeR is delaying care to Medicare ...

Insurance coverage of wearables is spotty. This could soon change as Medicare begins a pilot to facilitate access to wearables while gathering data on health outcomes.

The Trump administration is proposing a new rule to keep hospitals from charging markups on discounted drugs for Medicare ...

Medicare Part A will pay for short-term stays in a Medicare-certified skilled nursing facility. The cost of long-term stays ...

This story has been updated with comment from AHIP. Medicare Advantage Organizations overturned 95% of appealed prior authorization denials for skilled nursing facility admission in favor of enrollees ...

A temporary rise in income can trigger higher Medicare premiums later due to the IRMAA rule, potentially reducing Social ...