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Court invalidates regulation restricting broker fees in Medicare Advantage

Court dismisses Humana's lawsuit over Medicare Advantage star ratings

Diving briefs: A federal judge has overturned rules from the Biden administration aimed at limiting payments to agents and brokers involved with the Medicare Advantage Plan. On Monday, Judge Reed O’Connor of the Northern District of Texas ruled that the CMS had overstepped its authority by attempting to restrict contracts that would reduce payments to […]

Anticipated Changes in Medicare Part D Policies and Premiums for Next Year

Anticipated Changes in Medicare Part D Policies and Premiums for Next Year

Medicare Part D Premiums Expected to Rise in 2026 While final figures aren’t available yet, it’s anticipated that Medicare Part D Prescription Drug Insurance premiums will see noticeable increases in 2026. Part D Insurance is provided by private companies and is overseen by the Centers for Medicare and Medicaid Services (CMS). This program has been […]

Trump’s tax law may lead to nearly $500 billion in Medicare reductions over the next ten years unless corrected, according to CBO.

Trump's tax law may lead to nearly $500 billion in Medicare reductions over the next ten years unless corrected, according to CBO.

Recent analysis from the Congressional Budget Office suggests that Medicare spending is set for significant cuts in the next decade, following the passage of President Trump’s major tax laws last month—and this might happen without any action from Congress. Nonpartisan budget analysts calculated that substantial overall cuts to the federal program could be triggered as […]

Pilot program raises Democratic worries about Medicare regulations

Pilot program raises Democratic worries about Medicare regulations

House Democrats are urging more transparency regarding what they term the new demonstrations from the Department of Health and Human Services (HHS), particularly concerning the introduction of pre-authorization requirements for Medicare. A collective of 17 Democrats, led by Susan Delbene (D-Wash.) and Ami Bera (D-Calif.), are questioning HHS’s motives behind the proposed pre-authorization for traditional […]

Liz Weston: Seniors on Medicare seek strategies to deduct medical costs

Liz Weston: Seniors on Medicare seek strategies to deduct medical costs

Dear Liz: My wife and I are in our early 90s and are lucky to have health insurance. Yet, we face significant out-of-pocket costs. As you might guess, we will be retiring soon and will rely on Social Security, pensions, and investments for income. Are we able to use a flexible spending account funded with […]

Two additional lawsuits against Medicare negotiation dismissed in federal courts

Two additional lawsuits against Medicare negotiation dismissed in federal courts

This week, federal judges in Texas and Connecticut dealt another blow to the pharmaceutical industry by rejecting challenges to the constitutionality of the Medicare drug price negotiation program, while also upholding a related appeal. In Connecticut, the U.S. Court of Appeals for the Second Circuit backed a prior ruling by U.S. District Judge Michael P. […]

UnitedHealth set to discontinue Medicare Advantage plans for 600,000 individuals

UnitedHealth set to discontinue Medicare Advantage plans for 600,000 individuals

Dr. Oz Discusses Medicare and Medicaid “Special interests push the misleading story points to stop the most ambitious healthcare reforms of all time,” remarked Dr. Mehmet Oz, the Administrator for the Center for Medicare and Medicaid Services. In recent news, UnitedHealthcare announced it will be dropping some of its Medicare Advantage Plans that collectively serve […]

Court confirms the rejection of US Chamber’s challenge to Medicare negotiations

Court confirms the rejection of US Chamber's challenge to Medicare negotiations

The U.S. Sixth Circuit Court of Appeals confirmed a lower court’s decision on Wednesday to dismiss a challenge to the Medicare drug price negotiation program put forward by the U.S. Chamber of Commerce. The court reiterated that these officials had no standing to sue. This ruling comes almost a year after a federal judge had […]