Federal changes to physician payment and quality reporting are coming in 2027 — here's how they may affect your access to doctors who accept Medicare, and what you can do now to protect your care.
By Michael Spitaleri · October 5, 2026
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Your out-of-pocket costs for an inpatient hospital stay under Original Medicare can reach thousands of dollars. Here's exactly what Part A covers, what you'll owe, and how to protect yourself from catastrophic bills.
October 4, 2026
The healthcare workforce is growing faster than almost any other sector of the U.S. economy — and for Medicare Advantage enrollees, that shift in who delivers care, and where, has real consequences for access, costs, and plan networks.
October 2, 2026
Nebraska became the first state to enforce Medicaid work requirements in May 2026. Early data shows 14% of new applicants lost coverage — and with a federal deadline of January 1, 2027, every state is next.
September 30, 2026
A 2025 federal law mandates Medicaid work requirements nationwide by January 2027, with Nebraska, Montana, and Iowa moving faster. Dual-eligible Medicare beneficiaries and their families need to act before coverage gaps occur.
September 29, 2026
Federal records reveal serious implementation problems in CMS's artificial intelligence experiment for Medicare Advantage prior authorization — here's what beneficiaries need to know about their rights and how to protect access to care.
September 28, 2026
As paid family and sick leave policies expand across states, Medicare beneficiaries who still work or care for family members need to understand how these rules interact with their health coverage — and what gaps remain.
September 27, 2026
National Medicaid enrollment has fallen to 73.2 million as of June 2026, driven by new work requirements and post-pandemic redeterminations. Here's what dual-eligible Medicare beneficiaries need to know about protecting their coverage.
September 27, 2026
A rigorous August 2026 survey of 2,241 rural voters confirms what many rural Medicare beneficiaries already know: healthcare affordability is eroding fast, and thin Medicare Advantage markets are making it harder to find relief.
September 25, 2026
Nearly every state now operates at least one Section 1115 Medicaid waiver, reshaping benefits, eligibility, and coverage options that directly affect Medicare-Medicaid dual enrollees and low-income seniors.
October 2, 2026
New federal transparency requirements will force Medicare Advantage plans to disclose denial rates and approval times — but prior authorization itself isn't going away, and beneficiaries will still face delays and denials for care their doctors have ordered.
September 23, 2026
Internal documents reveal serious flaws in Medicare Advantage's AI-driven claims review system — here's what beneficiaries need to know about protecting their care approvals.
September 30, 2026
New research links Medicare Advantage prior authorization burdens to county-level social vulnerability, raising serious questions about care access for lower-income and rural beneficiaries.
September 22, 2026
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September 13, 2026
September 17, 2026
August 31, 2026
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