Eli Lilly (LLY) has said that monthly out-of-pocket costs for some Medicare enrollees taking its weight loss and obesity drugs could exceed the $50 cap under a new government-backed payment model. The ...

The Medicare Advantage program has undergone significant policy changes during the past year, affecting deductibles, out-of-pocket costs, provider networks and prior authorization determinations.

Commission's March report recommends 0.75% pay increase in 2027 for most docs who take Med ...

Medicare Advantage plans scored lower in overall satisfaction among members in 2025. Eroding trust and policy confusion drove the drop in customer satisfaction.

Telehealth, which is a way to visit with your provider using a phone or video call, is available to all Medicare members through December 31, 2027. "A lot of Medicare beneficiaries got their ...

Years of Medicare Advantage overpayments have increased Part B premiums for everyone and eroded Social Security benefits, a new congressional report finds.

As part of the Inflation Reduction Act, manufacturers are required to pay a rebate to Medicare if a drug's price increase exceeds the rate of inflation. CMS said it intends to send the first invoices ...

Aetna, a CVS Health company, shared its 2025 Medicare products offerings will include a wide array of plan options, including $0 monthly plan premium, $0 primary care copay, $0 copay for Tier 1 drugs, ...

The Academy made Medicare physician payment reform its sole legislative advocacy focus and will continue to do so in 2026. Our goal is to stop annual payment cuts and for Congress to pass legislation ...

Seventy-seven percent of Medicare plan members use digital health tools, according to a HealthMine survey. For the survey, the healthcare technology company asked 500 Medicare plan members about their ...

A bipartisan group of House members introduced a bill Tuesday that would reverse a proposed 2.8% Medicare Physician Fee Schedule payment cut and give physicians a raise equivalent to half of the ...