NBC New York

Private health insurers use AI to approve or deny care. Soon Medicare will, too

Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the ...
Opinion

I used to think Medicare Advantage was the best healthcare option in retirement. Here's why I've changed my mind.

While these plans have their perks, there are some serious drawbacks to know about.
VTDigger

Vermonters adjust to a health care landscape without Medicare Advantage

For some, the transition has been relatively smooth. For others, the accumulation of many disparate costs is smothering.
KCUR 89.3 FM

For seniors on Medicare Advantage, lower costs can mean gambling with health care

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 ...
clinicaladvisor.com

Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say

A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. KFF ...

CMS All-In On Using ‘Big Stick’ To Make Value-Based Care New Paradigm

CMS intends to use the $1.2 trillion in provider payment it controls to push whole menu of value-based care programs.
Des Moines Register

Private Medicare, Medicaid plans exaggerate in-network mental health options, report says

Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as being available to treat the plans’ members, a new federal watchdog report says.