The pre-authorization system, initially designed to control costs and prevent fraud, has unexpectedly evolved, creating a ...

Ohio seniors could face new hurdles to accessing care as Medicare tests a controversial approval system that puts algorithms ...

The six-year WISeR Model trial begins January 2026, affecting traditional Medicare recipients seeking certain medical procedures.

Compared with traditional Medicare, Medicare Advantage plans are, on average, paid more by the taxpayer-funded Medicare system for covering each enrollee. Advantage plans also have more flexibility to ...

New research shows retirees with Medicare Advantage often lose money by not using their full benefits… and we explain how to ...

(THE CONVERSATION) The 67 million Americans eligible for Medicare make an important decision every fall: Should they make changes in their Medicare health insurance plans for the next calendar year?

Regular dental care: Routine dental services, like cleanings, fillings, crowns, dentures, and orthodontics, are generally not ...

Medicare open enrollment runs from Oct. 15 through Dec. 7 each year. Current Medicare enrollees can make changes to their coverage. It's important to explore your options, especially if your plan is ...

Increases in Medicare Advantage (MA) enrollment are not, on average, associated with significant profit margin changes for ...

The popular programs are facing cost pressures and that means higher costs or reduced benefits may be coming to your plan.