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(By: Jakob Emerson for Becker’s Hospital Review) For years, prior authorization has remained among the most contentious pressure points between

CMS Health Care Finance Legal Actions/Court Decisions Medicare Advantage Part D/Prescription Drugs

Eileen Cook May 7, 2026May 7, 2026 CMS, CMS Fines, Medicare Advantage, Medicare Part D, Older Adults

CMS issues another round of Medicare Advantage fines to 13 health plans

(By: Jakob Emerson for Becker’s Hospital Review) CMS has fined 13 health plans a combined $1.5 million for Medicare Advantage

CMS Health Care Finance Health Insurance Medicaid Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook May 7, 2026May 7, 2026 Healthcare Costs, Healthcare Finance, Medicaid, medicare, Medicare Advantage, Medicare Part D

That Discount at the Pharmacy Counter May Pack Hidden Costs

(By Rachel Spears for KFF Health News) Next time you go to the pharmacy, you might be offered a coupon

Artificial Intelligence Consumer Data Prior Authorization

Eileen Cook May 6, 2026May 6, 2026 AI, AI Powered Prior Authorization, Claim Review, Consumer Protection

Regulation of AI in Prior Authorization and Claims Review: A Look at Federal and State Consumer Protections

(Authors: Kaye Pestaina, Rayna Wallace, Michelle Long, and Justin Lo for The Kaiser Family Foundation Published: May 6, 2026) Rapid

Health Care Finance Health Care Redesign

Eileen Cook May 6, 2026May 6, 2026 Healthcare Costs, Healthcare Finance, Hospital at Home, Older Adults

Hospital at home linked to better outcomes: 7 notes

(By: Giles Bruce for Becker’s Hospital Review) Patients treated at a hospital-at-home program had lower rates of mortality and emergency

CMS Health Care Finance Medicare - General Part D/Prescription Drugs

Eileen Cook May 6, 2026May 6, 2026 CMS, GLP-1 drugs, Healthcare Costs, medicare, Medicare Part D, Older Adults

A New Medicare Option for Weight Loss Drugs: What Older Americans Should Know

(By Jackie Fortiér for KFF Health News) Starting in July, Medicare beneficiaries may be able to get a GLP-1 prescription

Cybersecurity Health Care Finance

Eileen Cook May 5, 2026May 5, 2026 AHA, Cybersecurity, Joint Commission

Joint Commission, AHA create cyber resilience program

(By: Mariah Taylor for Becker’s Hospital Review) The Joint Commission and the American Hospital Association created a first-of-its-kind program designed

Mental Health/Behavioral Health Veterans Benefits

Eileen Cook May 5, 2026May 5, 2026 Mental Health, Veterans, Veterans Health care

Veterans get real about their mental health journeys

(Source – news.va.gov) Candid talk about recognizing challenges and finding solutions Are you having a hard time deciding whether changes

CMS Direct Primary/Concierge Care Health Care Finance Health Insurance

Eileen Cook May 5, 2026May 5, 2026 CMS, Direct-to-consumer, Health Insurers, Healthcare Costs, Healthcare Finance

Health insurers’ ‘direct-to-consumer’ push: 5 notes

(By: Elizabeth Casolo for Becker’s Hospital Review) Healthcare more broadly has been focused on reaching consumers where they are at.

CMS Health Care Finance HHS Medicaid Medicare - General Medicare Advantage

Eileen Cook May 4, 2026May 4, 2026 CMS, Medicaid, medicare, Medicare Advantage, Older Adults

Changes to the Medicare Advantage Program Enhance Some Consumer Protections But Roll Back Others

(Authors: Meredith Freed, Alex Cottrill, Jeannie Fuglesten Biniek, and Tricia Neuman for The Kaiser Family Foundation Published: May 1, 2026)