The Centers for Medicaid and Medicare (CMS) announced in January that its 2027 slate of 15 drugs for price negotiations would include weight loss drugs Ozempic, Rybelsus, and Wegovy.

Taking a page from the private insurance industry’s playbook, Medicare will launch an AI program for prior authorizations.

Through Medicare Savings Programs, low-income people with Medicare benefit from cost savings, as their premiums and, in some cases, cost-sharing, are covered through Medicaid at no cost. Information ...

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 ...

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also ...

Medicare’s largest shared savings program is boasting the highest savings for accountable care organizations and the government since it began more than one decade ago. The Medicare Shared Savings ...

Income limits for dual enrollment in Medicaid and Medicare depend on how you qualify. General Medicaid income limits vary by state, but federal Medicare savings program limits can also qualify you for ...

CMS' Part D Senior Savings Model effectively increased insulin use while reducing out-of-pocket costs among Medicare beneficiaries, according to a ...