5+ hour, 28+ min ago  (994+ words) John is 70 years old, managing diabetes and high blood pressure with doctors he has trusted for years, but that stability disappeared overnight when his health system dropped its Medicare Advantage (MA) contracts, abruptly pushing his care out of network. Now,…...

5+ hour, 28+ min ago  (14+ words) $193.6T in Unfunded Medicare, Social Security Promises'RealClearHealth $193.6T in Unfunded Medicare, Social Security Promises...

1+ mon, 4+ week ago  (378+ words) What Is Prior Authorization? Most private payers have prior authorization requirements, including commercial and employer-sponsored plans. Although traditional Medicare only has prior authorization requirements in extremely limited cases, Medicare Advantage plans often do. States and Medicaid managed care organizations are…...

1+ mon, 4+ week ago  (1609+ words) This year America's doctors can forget raising a glass of celebratory champagne. Despite the congressional enactment of a 2.5% across the board Medicare payment increase, courtesy of'President Trump's "One Big Beautiful Bill'their pay increase is being'undercut. The Center for Medicare and…...

2+ mon, 3+ week ago  (313+ words) These efforts are also important to show that common sense policy changes can be implemented, and implemented quickly, without the need for legislative or regulatory action. By coming to the table to proactively address potential inefficiencies and cost drivers, payers…...