Under the Medicare Drug Price Negotiation Program, the federal government negotiates prices with drug companies for certain high-cost drugs covered […]
CMS’s efforts to expand Medicare coverage of GLP-1s for obesity could provide substantial benefits to millions of Medicare beneficiaries, given
The Medicare Part D prescription drug benefit is provided by private plans, either Medicare Advantage plans that offer drug coverage
Just over 35 million people are enrolled in Medicare Advantage in February 2026, an increase of 1.1 million since a
This analysis of trends in health insurers’ financial data shows that insurers’ gross margins per enrollee dipped slightly in 2024
Just over 35 million people are enrolled in Medicare Advantage in February 2026, an increase of 1.1 million since a
This analysis of trends in health insurers’ financial data shows that insurers’ gross margins per enrollee dipped slightly in 2024
On February 14, 2026, CMS released a dataset with provider-level spending data that the agency suggests could be used to
Medical or prescription denials can be frustrating, heart-breaking and downright wrong. Many denials are automated by AI and happen in
This brief describes the Managed Care Program Annual Report (MCPAR), a relatively new, comprehensive report on state Medicaid managed care
