Health Care Finance – Page 14 – medicarereport.org

Affordable Care Act (ACA)CMS Employer Healthcare Health Care Finance Health Insurance Medicare Advantage Prior Authorization

Eileen Cook April 3, 2026April 3, 2026 Claims Denials and Appeals, Healthcare Costs, Healthcare Finance, Medicaid, Medicare Advantage, Medicare Part D, Prior Authorization

Insurers’ Prior Authorization Data Offers Little Insight Into What Gets Approved or Denied

(Author Kaye Pestaina for The Kaiser Foundation published April 2, 2026) For many Americans, especially those with a chronic condition,

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 3, 2026April 3, 2026 CMS, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Part D

CMS finalizes 2027 Medicare Advantage and Part D rule: 10 notes

(By: Jakob Emerson for Becker’s Hospital Review) CMS published its final 2027 Medicare Advantage and Part D rule on April

Accountable Care Organizations (ACO)CMS Health Care Finance

Eileen Cook April 2, 2026April 2, 2026 ACO, CMS, Healthcare Finance, LEAD Model

CMS requests ACOs apply for LEAD model

(By: Elizabeth Casolo for Becker’s Hospital Review) CMS issued a request for applications March 31 for its long-term enhanced ACO

Health Care Finance Health Insurance Legal Actions/Court Decisions

Eileen Cook April 2, 2026April 2, 2026 Health Insurance, Healthcare Finance, Penalties

7 recent payer fines from states

(By: Jakob Emerson for Becker’s Hospital Review) Payers have faced state penalties in 2026 for slow reimbursements, mishandled member complaints,

Health Care Finance Part D/Prescription Drugs

Eileen Cook April 1, 2026April 1, 2026 Medicare Part D, Prescription drug costs, Public Opinion, TrumpRx

Public Opinion on Prescription Drugs and Their Prices

(Authors: Audrey Kearney, Julian Montalvo III, Ashley Kirzinger, and Liz Hamel for The Kaiser Family Foundation Published: Mar 31, 2026)

Health Care Finance Health Insurance HRAs/HSAs

Eileen Cook April 1, 2026April 1, 2026 Health Insurance, Healthcare Costs, Healthcare Finance, HSAs

Where HSA policy stands: 4 notes

(By: Jakob Emerson for Becker’s Hospital Review) Health savings accounts have become one of the more active areas of federal

CMS Health Care Finance Medicare Advantage

Eileen Cook March 30, 2026March 30, 2026 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Payment Advisory Commission, Older Adults

8 Medicare Advantage numbers to know in 2026

(By: Elizabeth Casolo for Becker’s Hospital Review) Medicare Payment Advisory Commission insights, Congressional reports and enrollment data have all been

FDA Health Care Finance Part D/Prescription Drugs

Eileen Cook March 30, 2026March 30, 2026 CMS, Drug Discounts, Generics, Healthcare Costs, Healthcare Finance, Medicare Part D, TrumpRx

How to navigate the maze of drug discounts to get the best price

(By Sydney Lupkin for NPR) When TrumpRx launched in February, it joined a chorus of websites claiming to have deals

Health Care Finance

Eileen Cook March 27, 2026March 27, 2026 Healthcare Finance

One or Two Health Systems Controlled the Entire Market for Inpatient Hospital Care in Nearly Half of Metropolitan Areas in 2024

(Authors: Jamie Godwin, Zachary Levinson, and Tricia Neuman for The Kaiser Family Foundation Published: Mar 27, 2026) National health spending

Health Care Finance Legislative Update Medicaid

Eileen Cook March 26, 2026March 26, 2026 Healthcare Finance, Medicaid, Medicaid Work Requirement

Medicaid work requirements could cut enrollment by up to 10 million per month

(By: Elizabeth Casolo for Becker’s Hospital Review) By 2028, there could be between 4.9 million and 10.1 million fewer people enrolled