A new Oklahoma executive order on Medicare Advantage may go further than any other state initiative to rein in practices largely seen as unfavorable to both beneficiaries and providers.

Many who enrolled in Affordable Care Act health plans are paying steeper premiums this year. That means cutting back in other ...

To ensure your wellness visit is covered, stick to what is typically included in the visit. Asking questions about your recurrent hip pain or an upset stomach could result in the physician adding ...

Health care in 2026 will be marked by an environment of volatility and fissures in coverage that will ripple through all ...

‘Risk Score’ Changes CMS also plans to make changes to how it calculates the “risk scores” that determine payment. Medicare Advantage pays plans a set monthly fee for each patient. The payments are ...

President Donald Trump largely spared insurers in his health plan, but the same can’t be said for his Medicare Advantage ...

The Centers for Medicare & Medicaid Services (CMS) has proposed policies that are projected to result in a net average year-over-year payment increase of 0.09%, or more than $700 million ...

The first Social Security and Supplemental Security Income checks for 2026 will include a 2.8% boost for about 75 million ...

Earlier this week, we released a +Insight called “Healthcare in 2026: A preview” that lays out major legislative and regulatory healthcare ...

As healthcare costs continue to squeeze family budgets, Congress remains locked in debate over extending enhanced COVID-era Obamacare insurance company subsidies that artificially lower premiums for ...

Elevance Health navigated the healthcare minefields well enough to post a $547 million profit in the fourth quarter 2025, a 31% increase.

This week, federal agencies prepare for a partial government shutdown as the Senate advances an appropriations agreement that, if passed, will move ...