Both plans offer healthcare coverage but differ greatly when it comes to accessing care. Learn how they work, benefits and ...

Get ready for the annual onslaught of enrollment ads for Medicare Advantage. For beneficiaries, the choice between traditional Medicare or an Advantage plan, or between individual Advantage plans, can ...

For now, the most reasonable stance is watchful waiting: acknowledging the real problems WISeR seeks to address, recognizing ...

A Medicare program exit was defined as a 6-month period in which a physician billed no claims for a Medicare beneficiary ...

This shift could improve care coordination and create opportunities for cost savings through enhanced formulary flexibility ...

Amid Medicare Advantage’s rise, future policy shifts – including faster prior authorization requirements and Medicaid cuts – ...

Medicare beneficiaries with amyotrophic lateral sclerosis (ALS) were found to have more than 3 times the Medicare expenditures and beneficiary liability of the average Medicare beneficiary.

The AMA is dedicated to reducing physician burnout, a significant part of which is influenced by inflation and recent cuts to ...

While the number of physicians working with Medicare patients increased between 2013 and 2023, Medicare’s exit rates in rural and underserved areas also increased, according to a recent analysis of ...

CMS Administrator Dr. Mehmet Oz discusses Medicare Open Enrollment, how the government shutdown impacts seniors, and efforts ...

Southwest EMS says 60% of its funding is tied to Medicare payments. Providers are urging Congress to act quickly to ensure ...