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Medicare Advantage Out-of-Pocket Limits: Variation and Trends
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CMS

Eileen Cook April 23, 2026April 23, 2026 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medigap, Older Adults

Medigap Premiums Leap, and Consumers Have Few Alternatives

(By Julie Appleby for KFF Health News) After decades of selling insurance, Illinois-based broker John Jaggi had never seen anything

CMS Health Care Finance Part D/Prescription Drugs

Eileen Cook April 22, 2026April 22, 2026 BALANCE, CMS, Healthcare Finance, Medicare Part D

CMS pauses weight-loss BALANCE model for Medicare

(By: Elizabeth Casolo for Becker’s Hospital Review) CMS is holding off on its voluntary “Better Approaches to Lifestyle and Nutrition

CMS Health Care Finance

Eileen Cook April 13, 2026April 13, 2026 CMS, Healthcare Finance, medicare

CMS’ proposed pay bump inadequate, hospitals say

(By: Andrew Cass for Becker’s Hospital Review) CMS on April 10 proposed a 2.4% pay increase for hospitals under the

CMS Health Insurance Medigap

Eileen Cook April 10, 2026April 10, 2026 CMS, Medigap, Older Adults

Medicare supplement enrollment increased in 2024: AHIP

(By: Elizabeth Casolo for Becker’s Hospital Review) Medicare supplement enrollment grew 1.3% between 2023 and 2024, according to an April

CMS Health Care Finance Medicare Advantage

Eileen Cook April 9, 2026April 9, 2026 CMS, Healthcare Costs, Healthcare Finance, Medicare Advantage, Older Adults

9 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

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

Eileen Cook April 8, 2026April 8, 2026 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Older Adults

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,”

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 7, 2026April 7, 2026 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D

CMS 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,

Artificial Intelligence CMS Medicare Advantage

Eileen Cook April 6, 2026April 6, 2026 AI, CMS, Medicare Advantage

BCBS Association asks CMS to close Medicare Advantage fraud gaps, regulate AI coding tools

(By: Jakob Emerson for Becker’s Hospital Review) The Blue Cross Blue Shield Association submitted a wide-ranging letter to CMS on

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 3, 2026April 3, 2026 CMS, medicare, Medicare Advantage, Medicare Part D, Older Adults

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

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,

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