Add Yahoo as a preferred source to see more of our stories on Google. A pilot program in Texas and five other states will start on Jan. 1. It will test the use of an AI algorithm in making prior ...

Bruine de Bruin is director of the Behavioral Sciences and Policy Initiative at the USC Schaeffer Institute for Public Policy and Government Service. Blum is a nonresident senior scholar at the USC ...

A new Medicare pilot program will require prior authorization for certain medical procedures, using AI to approve or deny coverage A new program from the Centers for Medicare and Medicaid Services ...

Brokers who sell Medicare Advantage plans may not be telling consumers about all of the plans available, according to a new Urban Institute report. Brokers, who are paid by insurers, may be ...

Medicare Advantage, a private alternative to traditional Medicare, offers extra benefits and low monthly premiums. However, prior authorizations and claim denials complicate this increasingly popular ...

This article builds on testimony the author delivered to the US House Ways and Means Committee in July 2025. In 1997, Congress created what would later become Medicare Advantage, then known as ...

Medicare is one of the most valuable health programs in the United States, but understanding it requires careful attention ...

A new Medicare program covering services for at-home nursing care for dementia patients has received the green light to expand nationwide following a yearlong pilot program. It’s a first for Medicare, ...

(THE CONVERSATION) The 67 million Americans eligible for Medicare make an important decision every fall: Should they make changes in their Medicare health insurance plans for the next calendar year?