One year after the Trump administration announced that dozens of health insurers had signed a six-part pledge promising to reduce barriers to doctor-recommended care, some insurers now say they won’t implement all the promised initiatives. Meanwhile, patients, their advocates, and clinicians say little has improved. “It has never been this bad for patients,” said U.S. Rep. Greg Murphy (R…
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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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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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