by Eileen Appelbaum | Dec 7, 2025 | ACA, Affordable Care Act, Centers for Medicare & Medicaid Services, Centers for Medicare and Medicaid Services, CMS, Donald Trump, Dr. Oz, health care, Health Insurance, Humana, Medicare Advantage, News Analysis, Prior Authorization, Trump Administration, UnitedHealthcare
The open enrollment period for Medicare ends on December 7, and chaos in the privatized Medicare Advantage market has left many who depend on MA plans confused and possibly uninsured in 2026. Health insurance companies that sponsor Medicare Advantage (MA) plans have aggressively recruited members in the past. Low or $0 premiums plus supplemental benefits that traditional Medicare is not…
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by Anna Claire Vollers | Dec 6, 2025 | AI, Centers for Medicare & Medicaid Services, Centers for Medicare and Medicaid Services, CMS, health care, Medicare, Medicare Advantage, News, Prior Authorization, venture capital, venture capitalists
A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans’ requests for certain medical care — and will reward the companies when they deny it. In January, the federal Centers for Medicare & Medicaid Services will launch the Wasteful and Inappropriate Services Reduction (WISeR) Model to test AI-powered prior authorizations on certain health…
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