Medical device lobbyists and lawmakers have united in recent months over legislation that would make it easier to bill ...

There’s no questioning that AI should have governance and guardrails. As much good as it can bring, it also heightens risk.

Below is a roundup of payer-centric news headlines you may have missed during the month of July 2025. | In July, Democratic ...

Deciding on the right Medicare coverage means first figuring out whether to go with original Medicare plus a Medigap supplemental policy and a Part D plan, or with a Medicare Advantage and Part D plan ...

Advice for using AI If you want to use AI for decisions about Medicare, long-term-care insurance or Social Security, experts offer this advice: Be sure you're using the latest version of a chatbot.

Routinely audit AI tools against clinical guidelines, regulatory standards, and known sources of bias. Maintain transparency by offering clinicians insight into how suggestions are generated.

AI can help Medicare detect waste and abuse, but it cannot eliminate the deeper incentives that encourage it. Technology can reveal the symptoms, but only structural reform can treat the disease.

In the world of Medicare Advantage, a disturbing shift is occurring. What began as a noble push toward value-based care has increasingly morphed into an aggressive pursuit of value-based payment ...