Medicare – General – Page 7 – medicarereport.org

Friday, December 5, 2025

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Eileen Cook August 12, 2025August 12, 2025 CMS, medicare, medicare legislation, Prior Authorization

Lawmakers question adding prior authorization for traditional Medicare services

(By: Andrew Cass for Becker’s Hospital Review) A group of House Democrats is seeking answers from CMS Administrator Mehmet Oz,

CMS Health Care Finance Medicare - General

Eileen Cook August 7, 2025August 7, 2025 CMS, Healthcare Costs, Healthcare Finance, IRMAA, Late Enrollment Penalty, medicare, Medicare Premiums

Medicare billing surprises

Around your 65th birthday, you will have a 7-month window of time when you can sign up for Medicare. It

DHS -OIG Health Care Finance Medicare - General Part D/Prescription Drugs

Eileen Cook August 6, 2025 DHS-OIG, Drug Payments, medicare, Medicare Part B, Medicare Part B drugs

Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2023 Average Sales Prices

(Source – oig.hhs.gov) Medicare Part B annually spends billions of dollars to cover a limited number of outpatient prescription drugs.

CMS Health Care Finance Medicaid Medicare - General

Eileen Cook August 5, 2025August 5, 2025 AI, CMS, Fraud Prevention, Medicaid, medicare

The next step in preventing fraud

In recent weeks, the Centers for Medicare & Medicaid Services (CMS) announced that the “Fraud Takedown” resulted in the prosecution

Affordable Care Act (ACA)Direct Primary/Concierge Care Health Care Finance Health Care Redesign Health Insurance HRAs/HSAs Medicaid Medicare - General Part D/Prescription Drugs

Eileen Cook August 5, 2025August 5, 2025 ACA, CMS, Federal Budget Reconciliation Bill, Healthcare Costs, Healthcare Finance, Medicaid, medicare, Medicare Part D

Implementation Dates for 2025 Budget Reconciliation Law

(Source – The Kaiser Family Foundation published August 4, 2025) On July 4, President Trump signed the budget reconciliation bill,

CMS Health Care - General Medicare - General

Eileen Cook August 1, 2025August 1, 2025 medicare, Older Adults, PCPs, Specialists

PCPs leave Medicare at faster rates than specialists: 4 study notes

(By: Mariah Taylor for Becker’s Hospital Review) Primary care physicians are leaving fee-for-service Medicare programs faster than specialists, according to

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

Eileen Cook July 30, 2025July 30, 2025 CMS, medicare, Medicare Advantage, Medicare Part D, Out-of-pocket costs, Premiums, Prior Authorization, Supplemental Benefits

Medicare Advantage in 2025: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization

(By Nancy Ochieng, Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jul

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

Eileen Cook July 29, 2025July 29, 2025 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, MedPAC, Older Adults

Medicare Advantage in 2025: Enrollment Update and Key Trends

(By Nancy Ochieng, Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jul

Health Care Finance Legislative Update Medicare - General Medicare Advantage

Eileen Cook July 28, 2025July 28, 2025 Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, The Prompt and Fair Pay Act

The Prompt and Fair Pay Act

The Prompt and Fair Pay Act (H.R. 4559) was introduced to Congress last week. This bipartisan legislation addresses concerns regarding

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

Eileen Cook July 17, 2025July 17, 2025 CMS, medicare, Medicare Advantage, Medicare Part D, Older Adults

Key Facts About Medicare Part D Enrollment, Premiums, and Cost Sharing in 2025

(By Juliette Cubanski and Anthony Damico for The Kaiser Family Foundation Published: Jul 16, 2025) The Medicare Part D program