Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

In 2022, the Medicare Part B standard premium will increase from $148.50 to $170.10. This $21.60 increase (14.5%) is the largest since the Medicare program began in 1965 and much higher than was ...

President Donald Trump didn't wait long in his second term to begin shaking things up in Washington, D.C. In less than two ...

In 2025, seniors will pay less for 64 medications if they get them through Medicare Part B, which covers outpatient care, ...

Alexandra Gehrke and Jeffrey King face up to 20 years in prison each for defrauding Medicare in a wound-care scheme.

The number of psychiatrists submitting more than 10 claims to Medicare Part B decreased by 16.8% from 2014 to 2022.

Providers are sympathetic to Medicare enrollees’ concerns but don’t agree on their role in helping patients find less costly ...

A provision about insulin in the Inflation Reduction Act is conflated with a 2022 executive order by former President Joe ...

The Inflation Reduction Act (IRA) of 2022 brought substantial modifications to the Medicare program, which are still reflected in 2025. One of these changes was a new limit for ded ...

Among the first 10 drugs selected for price negotiations under the 2022 Inflation Reduction Act, cardiometabolic medications ...