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News
Why comparing insurance deductibles needs shared random medical-spend paths
6+ day, 19+ hour ago (653+ words) The hard part of comparing a high-deductible, low-premium plan with a low-deductible plan is not adding two premiums. Medical spending varies, and a fair comparison should expose both ordinary and expensive years. I built this simulator so both plans see…...
BREAKING: Trump Administration Raising Medicare Premiums for More Than 11 Million Americans by Eliminating Medicare Part D Subsidies
1+ mon, 2+ week ago (348+ words) New reporting reveals that Donald Trump and his administration are ending Medicare Part D subsidies, raising prescription drug costs for more than 11 million Americans. Trump administration officials have not been quiet about their goal of slashing safety net programs, even…...
CMS terminates Treatment Choices model in ESRD final rule
9+ mon, 2+ week ago (42+ words) The U.S. Centers for Medicare & Medicaid Services ended the Treatment Choices model under the end stage renal disease payment payment system for several reasons, including its failure to deliver meaningful savings. CMS terminates Treatment Choices model in ESRD final rule...
'Cutting Copays Act' to eliminate co-pays for Medicare Part D recipients in Kentucky
6+ mon, 1+ day ago (225+ words) Kentucky Congressman Morgan McGarvey spoke with seniors at the Sun Valley Community Center on Thursday to discuss legislation he helped pass that would directly benefit them. The "Cutting Copays Act" aims to eliminate co-pays for generic prescription drugs for Medicare…...
Insurance Coverage, Not Substitution Rules, Fueled Semglee’s Adoption | Managed Healthcare Executive
9+ mon, 3+ week ago (455+ words) The findings in a new study published in Health Affairs suggest that Semglee’s interchangeability status may have partially increased adoption by supporting improved formulary coverage. Improved insurance coverage likely drove increased adoption of Semglee (insulin glargine-yfgn) rather than its status…...
States use algorithms to determine who gets at-home care through Medicaid
10+ mon, 1+ week ago (126+ words) In the United States, 3 million elderly and disabled people get health care benefits at home, which is covered by Medicaid in many states. But the way states determine who is eligible for care is confusing and could leave people out....
Ambetter from Superior HealthPlan and Ambetter Health Offer Health Insurance in Texas in 2026
10+ mon, 1+ week ago (228+ words) During open enrollment, starting Nov. 1, residents can access affordable plans from Ambetter from Superior HealthPlan in 150 counties. "For more than a decade, Texans have had access to quality and affordable health insurance through Ambetter Health," said Plan President and Chief…...
What Is Medicare: Coverage, Cost and Enrollment
10+ mon, 4+ week ago (1183+ words) October 14, 2025, 8:00 PM If you’ve just celebrated your 65th birthday or it’s coming up in the next year, your mailbox is probably full of postcards, flyers and letters about your eligibility for Medicare. [READ: Medicare Mistakes to Avoid.] Medicare is a federal…...
Impact of Choosing Wisely on Low-Value Care
10+ mon, 4+ week ago (1053+ words) In recent years, healthcare systems around the world have been increasingly scrutinized for the growing prevalence of low-value care—services that provide minimal clinical benefit and can even lead to harm. Among the innovations aimed at curbing these practices is…...