The bigger picture for Medicare Advantage
Medicare Advantage has been around since 1997, when it was established by the Balanced Budget Act. Initially called “Medicare Choice,”
Read More
Health Care Finance
Insurers have cut prior auth requirements by 11%: AHIP-BCBS
(By: Jakob Emerson for Becker’s Hospital Review) Insurers have eliminated 11% of prior authorization requirements across a range of medical
Read MoreCMS hikes Medicare Advantage rate 2.48% for 2027: 6 notes
(By: Elizabeth Casolo for Becker’s Hospital Review) CMS is raising Medicare Advantage payments by 2.48%, or more than $13 billion,
Read More
Medicare Beneficiaries to See Simpler and More Flexible Plan Choices, Better Drug Coverage, Higher Quality and Lower Costs in 2027
(Source – www.cms.gov) The Centers for Medicare & Medicaid Services (CMS) is improving health plan quality, making it easier to
Read MoreInsurers’ 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,
Read More
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
Read MoreCMS 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
Read More
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,
Read MorePublic 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)
Read More
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
Read More