Health Care Finance – Page 19 – medicarereport.org

A trusted source for Medicare news and education from the AMAC Foundation.

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,”

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

Health Care Finance Health Insurance Prior Authorization

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

Eileen Cook April 8, 2026April 8, 2026 Health Insurance companies, Healthcare Finance, Prior Authorization

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

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

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

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

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

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

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

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

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

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

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

Accountable Care Organizations (ACO)CMS Health Care Finance

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

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

Health Care Finance Health Insurance Legal Actions/Court Decisions

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

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

Health Care Finance Part D/Prescription Drugs

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)

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

Health Care Finance Health Insurance HRAs/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

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