Medicare, Trump
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Wall Street is discovering that the Republican party’s longstanding romance with Medicare Advantage has entered a more complicated chapter.
President Donald Trump largely spared insurers in his health plan, but the same can’t be said for his Medicare Advantage payment proposal.
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and potentially waste taxpayer dollars.
The federal government has begun using artificial intelligence to review whether certain treatments are necessary for Medicare enrollees in six states.
In a proposed rule published on November 28, 2025 covering a broad range of matters related to the Medicare Advantage (Part C), Medicare
Hospital readmission penalties shift based on Medicare Advantage penetration, revealing disparities in CMS's value-based program from 2019 to 2022.
Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers and providers.
Lawmakers and Medicare rights groups say the Trump administration is withholding details of a pilot program that will use artificial intelligence to decide whether Medicare will pre-approve coverage for a limited group of procedures,
Providence CEO calls Medicare Advantage reset as hospitals exit networks over reimbursement and authorization issues, urging federal intervention.