Medicare’s new GLP-1 bridge program will provide eligible Part D prescription plan enrollees inexpensive monthly copays for ...

For the first time, Medicare will cover GLP-1 drugs prescribed solely for weight loss for eligible beneficiaries at a $50 ...

The move could unlock millions of new patients for Novo Nordisk and Eli Lilly and expand access to medications that were ...

The federal government has launched a new program to make GLP-1 weight loss drugs more affordable for older Americans.

Medicare, the national health insurance program for older adults and people with disabilities, provides essential medical benefits, without regard to income or medical history. Medicare beneficiaries ...

Medicare Advantage plans use prior authorization to manage health care use. In recent years, these practices have come under intense scrutiny from policy makers. Using beneficiary enrollment data and ...

Traditional Medicare beneficiaries generally don't need prior authorization before receiving medical treatment. In January, however, a new pilot program launched by the Centers for Medicare and ...

Insurers reverse 95% of Medicare Advantage skilled nursing denials on appeal, yet only 18% of denied patients ever challenge the decision. Medicare Advantage's out-of-pocket maximum doesn't cover care ...

Democrat lawmakers are calling on the CMS to release more data on a controversial pilot program that adds artificial intelligence-backed prior authorization for some services in traditional Medicare.

Thirty-one House Democrats are seeking more information on CMS’ Wasteful and Inappropriate Service Reduction model. The lawmakers sent a letter to CMS Administrator Mehmet Oz, MD, June 22, requesting ...