GoodRx reports Medicare covers essential healthcare but omits services like long-term care, dental, and vision, necessitating financial planning for expenses.

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and potentially waste taxpayer dollars.

GoodRx reports five major changes to Medicare in 2026, including a $2,100 Part D out-of-pocket limit, prior authorization for some services, and auto-renewal for payment plans.

Congress is close to enacting a two-year extension of Medicare telehealth coverage after the U.S. House of Representatives voted to renew virtual care for seniors.

In 2024, the first year Medicare paid for services that address patients’ health-related social needs, most care came from primary care doctors in office settings, but more than one in four claims were denied, showing barriers that could slow adoption of these new services, according to a study published today in JAMA Health Forum.

If you have a bacterial infection, you need to take antibiotics. If health care providers need to determine that you have a broken bone, you’ll need to have an X-ray. Those are some examples of medical care that’s considered medically necessary, but ...

Retirees on Medicare Advantage are missing out on crucial coverage, and their health could suffer because of it.

According to telehealth.org, policy changes have also helped telehealth become a permanent option for Medicare patients. The Consolidated Appropriations Acts of 2021 and 2023 removed limits on where behavioral health visits can happen, allowing patients to receive care from home using video or audio-only visits when needed.

"One of the things we also learned about is that hospitals need other funding to make good use of these additional residency spots," Leslie Gordon said.