This article is the latest in the Health Affairs Forefront featured topic Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

Accountable care organizations saved Medicare $2.1 billion, the largest yearly savings in program history, in 2023, the Centers for Medicare & Medicaid Services (CMS) revealed Tuesday. The results ...

The overall denial rate was 6.4% in 2023, the latest year data was available, according to an analysis by the nonprofit Kaiser Family Foundation. Seniors 65 and older who opt for a private Medicare ...

The nation’s largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation ...

In 2023—and for the first time ever—more people chose Medicare Advantage (MA) over traditional Medicare, with over 51% adoption. That translates to about 30.8 million Americans. With 43 MA plans ...

Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023, reflecting steady increases over the past few years as the number of MA enrollees has grown, according to ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. The Centers for Medicare and Medicaid Services is notifying ...

Nearly 1 million Medicare beneficiaries have recently learned that their personal information may have been compromised in a data breach last year. This incident comes on the heels of another incident ...

A new law limiting how much Medicare enrollees pay for out-of-pocket prescription drug costs is set to get phased in starting in 2025. For retirees, that will contribute to higher Medicare Part D ...

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