Navigating the complexities of Medicare can be daunting, especially when deciding between Medicare Advantage and Medigap. Both options aim to fill the gaps left by Original Medicare, but they do so in ...

Centene aims to be a top provider of government-sponsored health plans. Although it has grown at a solid clip organically, it also has made significant acquisitions—most notably WellCare in Medicare ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

The Centers for Medicare & Medicaid Services (CMS) has unveiled a new initiative aimed at improving prior authorization ...

IRA’s $2,000 out-of-pocket cap helps few; most won’t hit the threshold Insurers raise deductibles, replace flat co-pays with ...

Making prescription drugs more affordable was a key goal of the Inflation Reduction Act (IRA). However, most Medicare ...

Medicare Supplement Plans in Kansas in 2025 Medicare supplement insurance, also called Medigap, is a form of insurance that helps cover gaps in Original Medicare (parts A and B).

Some Medicare Advantage (Part C) plans offer dental coverage and may cover dental implants if they are medically necessary. But coverage varies by plan. Medicare Advantage (Part C) plans are ...

It turns out that Oz, Trump's pick to run the Centers for Medicare and Medicaid Services, endorsed something of a one-size-fits-all plan for health care just four years ago. Oz co-wrote a Forbes ...

Financing Whatever its costs, Medicare for All would require financing to match (including, possibly, deficit financing). A single-payer plan such as the ones assessed by Johnson and coauthors ...

Between 2011 and 2020, the number of plans, formularies, and beneficiaries in Part D all increased, rising from 33.2 million beneficiaries in 4,179 plans using 301 formularies in 2011 to 52.0 ...

Overall, MA plans were overpaid by an average of $9.3 billion per year between 2017 and 2020.