“That’s the second-highest Part B premium increase in program history,” Mary Johnson, a Social Security and Medicare policy analyst, told Yahoo Finance. It hits just as seniors are coming to terms with the modest 2.8% cost-of-living adjustment (COLA) increase in the...

Republican leaders on Capitol Hill are quietly ramping up talks within their senior ranks and with White House officials over how to structure and advance a potential extension of key Affordable Care Act insurance subsidies before the end of the year, according to...

We’ve all heard of Peak 65 — more than 11,000 Americans will celebrate their 65th birthday each day this year. That reality isn’t only a demographic headline; it’s transforming the client base. As clients a ge, Medicare becomes a key factor in their pre- and...

 The Centers for Medicare & Medicaid Services (CMS) is announcing that average premiums, benefits, and plan choices for Medicare Advantage (MA) and the Medicare Part D prescription drug program are expected to remain stable in 2026. Average premiums are projected...

Elevance is trimming its Medicare footprint, especially in prescription drug plans, in a bid to improve the business’ profitability. The insurer is exiting Medicare Advantage plans where “long-term economics are not sustainable,” Elevance CFO Mark Kaye said Thursday...

Medicare rules, costs, and benefits change every year, but some coming up in 2026 could have a bigger impact on your health and your wallet than usual. Along with having to pay fairly standard price increases, you may be affected by uncertainty across the health...

The Medicare annual enrollment period is approaching, and you’ve likely been gearing up for this critical time when your clients can enroll in or make changes to their Medicare Advantage and Part D prescription drug plans. But in this flurry of activity, it’s easy for...

The Centers for Medicare & Medicaid Services (CMS) recently announced a new program to test prior authorization requirements for certain services in six states starting Jan. 1. The states — New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington — will apply...

Medicare premiums and deductibles typically increase annually. Part B premiums are expected to rise 11.6% in 2026, nearly double the six percent jump in 2025, according to the 2025 Social Security and Medicare Trustees Report (page 204). The report projects a $206.50...

Licensed agents in the Medicare space are well-versed in the rhythm of the Annual Enrollment Period (AEP) and the Medicare Advantage Open Enrollment Period (MA OEP). The busy months from October through March are often a whirlwind of enrollments, client meetings, and...

Why does the stability of the PDP market matter? For Medicare beneficiaries who are enrolled in traditional Medicare, which is just under half of all people with Medicare, getting Medicare Part D prescription drug coverage means enrolling in a stand-alone PDP. For...

Outside of the busy AEP enrollment season, it can feel like someone pressed pause on your sales momentum. However, the reality is that Medicare opportunities don’t disappear during the rest of the year; they merely shift. CMS expects enrollment in Special Needs Plans...

Traditional Medicare, also known as Original Medicare, has historically required little in the way of pre-authorization for beneficiaries seeking services; pre-authorization was typically the domain of Medicare Advantage. But that's about to change, as the Centers for...

Under this new agreement, SunFire's gold-standard enrollment technology will be embedded directly into EnrollHere's intelligent dialer environment—creating a fully integrated solution that allows users to manage the entire consumer journey from initial outreach to...

Medicare provides health care for 68.5 million beneficiaries. The One Big Beautiful Bill, passed by the House and in debate in the Senate, contains several provisions that would impact Medicare, including cuts to several programs. The cost of the pending legislation...

Medicare touches the lives of just about every American senior. The nation’s retirement health insurance program currently has 68.5 million enrollees. So, when Medicare changes are proposed, millions of retirees take notice. Recently, the U.S. House of...

As President Donald Trump signed an executive order Monday that promises to drastically lower prescription drug prices in the U.S., Newsweek spoke with experts to find out what the new order will mean for those on Medicare. The executive order is aimed at a...

Licensed agents who work with Medicare products are on the front lines of a significant shift in healthcare coverage affecting our most vulnerable consumers. Recent data reveals a troubling trend: lower-income older adults transitioning from Medicaid to Medicare face...

There was a sliver of good news about Social Security, which turns 90 in August: None of the experts I heard from believe benefits will be cut any time soon for current beneficiaries or people close to claiming Social Security. Nor did they think the president and...

CVS Health plans to exit the individual health insurance business also known as Obamacare next year, leaving about 1 million Aetna members in 17 states looking for new coverage in 2026. The decision, disclosed Thursday, a day when CVS reported nearly $1.8 billion in...