Medicare Advantage

Shares of United Health Group and other insurance companies fell on Thursday following the industry leader's earnings report and forecast.

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It's an 'enormous amount of money ... we don't track,' says one MedPAC member

The decision counters a proposal by the Biden Administration to reimburse beneficiaries for the weight-loss medications.

Democratic Rep. Ro Khanna was on the receiving end of a tongue-lashing from CNBC host Joe Kernen after calling Medicare and Social Security "efficient."

Medicare is supposed to simplify healthcare for seniors; however, the plethora of options reads like a choose-your-own-adventure novel. Enter the sherpas: brokers and agents who promise to guide beneficiaries through the dizzying array of plan options, all while pocketing commissions for their troubles. But unlike the Everest sherpas, who are vested in getting climbers to the summit alive, are these Medicare guides…

Medicaid is the program that politicians love to fight over. Still, millions of Americans can't afford to lose Medicaid, which acts as the safety net that keeps low-income families, seniors, and people with disabilities from falling through the cracks. With federal spending under the microscope, Medicaid is again on the chopping block. So, what's really at stake? Let's cut through the noise and get to the facts…

Welcome to Medicare Part D, where your prescription drugs come with co-pays and co-insurance. If you thought co-pays and co-insurance were mundane payment terms, think again. These figures are expertly designed to shuffle more costs onto you while keeping insurers comfortably in the black.

People in Medicare Advantage plans are now in the middle of the Open Enrollment period allowing them to either change plans or switch to Original Medicare.

For anyone who has struggled to schedule a specialist appointment or sift through a mountain of insurance paperwork, the complexity of our healthcare system is painfully clear. Medicare's introduction of Principal Illness Navigation (PIN) codes formalizes and compensates the critical support that clinicians have long provided, acknowledging that guiding patients through appointments, documentation, and insurance…

Health experts acknowledge problems but one expert said, 'He ain't the guy' to fix them

Louisiana Senator questions whether vaccine skeptic can turn over a new leaf

Robert F. Kennedy Jr., if confirmed as HHS secretary, could help food-as-medicine startups expand with wider government health plan coverage.

There are affordable options for eye exams, glasses and contacts thanks to discount programs and national retailers if insurance is out of reach.

Health news and commentary gathered by MedPage Today staff

'We are dumbfounded by the amount of profiteering,' Lown Institute president says

The privatized version of Medicare doesn't just provide worse care than traditional Medicare—it also rips off American taxpayers with fraudulent claims. And Trump wants to double down on it.

John Cassidy on how the murder of the UnitedHealthcare C.E.O., Brian Thompson, has revived some long-standing debates about the American health-care system.

UnitedHealthcare uses an artificial intelligence (AI) tool with a 90% error rate to deny insurance claims.

The messages on the ammunition mimic the phrase "delay, deny, defend," which is commonly used by lawyers and insurance industry critics to describe tactics used to avoid paying claims.