Medicare news and trends

This Healthcare CEO Has a New Prescription for Pediatric Care
Healthcare // March 04, 2025

In a healthcare landscape often dominated by discussions of senior care and chronic disease management, innovation is increasingly turning the spotlight to an often overlooked yet critical population: children. Get the Full Story Complete the form to unlock this article and enjoy unlimited free access...

Musk’s DOGE Reportedly Digging Into Medicare Payment System
Politics // February 05, 2025

Elon Musk’s Department of Government Efficiency (DOGE) has reportedly gained access to Medicare’s payment system. Get the Full Story Complete the form to unlock this article and enjoy unlimited free access to all PYMNTS content — no additional logins required. yesSubscribe to our daily newsletter,...

WEX Introduces Digital Commerce Solution for Medicare Platform
eCommerce // November 21, 2024

Global commerce platform WEX added a digital shopping solution to its Medicare Advantage supplemental benefits platform. Get the Full Story Complete the form to unlock this article and enjoy unlimited free access to all PYMNTS content — no additional logins required. yesSubscribe to our daily...

Regulators Warn Against Improper Billing of Medicare Recipients
Regulation // November 01, 2024

Two federal agencies warned healthcare providers, Medicare Advantage plans and debt collectors not to improperly bill Qualified Medicare Beneficiary recipients (QMBs), who generally cannot be billed for cost-sharing by healthcare providers who accept Medicare. Get the Full Story Complete the form to unlock this article...

Interviews & Exclusives
Medicare Tests Algorithms to Streamline Prior Authorization

September 25, 2025
Medicare is set to bring artificial intelligence (AI) into the core of its decision-making, testing whether algorithms can determine which treatments get covered in the nation’s largest public health program. Get the Full Story Complete the form to unlock this article and enjoy unlimited free access to all PYMNTS content — no additional logins required. […]

This Healthcare CEO Has a New Prescription for Pediatric Care

March 04, 2025
In a healthcare landscape often dominated by discussions of senior care and chronic disease management, innovation is increasingly turning the spotlight to an often overlooked yet critical population: children. Get...

Micro-Incentives and AI Inject Fresh Energy Into Value-Based Healthcare

April 20, 2022
Picture two opposing armies, loaded to the teeth with accounting software. On one side are healthcare providers and their billing teams. On the other bristles an army of insurers. Get...

The Doctor Will See You Now: At Home

April 06, 2021
Thanks to rapidly advancing technology, our homes are becoming much more of a commerce command center than a simple living space. Companies like Roku and Netflix have turned them into...

Quick Reads
Musk’s DOGE Reportedly Digging Into Medicare Payment System

February 05, 2025
Elon Musk’s Department of Government Efficiency (DOGE) has reportedly gained access to Medicare’s payment system. Get the Full Story Complete the form to unlock this article and enjoy unlimited free access to all PYMNTS content — no additional logins required. yesSubscribe to our daily newsletter, PYMNTS Today. By completing this form, you agree to receive […]

WEX Introduces Digital Commerce Solution for Medicare Platform

November 21, 2024
Global commerce platform WEX added a digital shopping solution to its Medicare Advantage supplemental benefits platform. Get the Full Story Complete the form to unlock this article and enjoy unlimited...

Regulators Warn Against Improper Billing of Medicare Recipients

November 01, 2024
Two federal agencies warned healthcare providers, Medicare Advantage plans and debt collectors not to improperly bill Qualified Medicare Beneficiary recipients (QMBs), who generally cannot be billed for cost-sharing by healthcare...

GoHealth to Acquire e-TeleQuote to Expand Health Insurance Marketplace

September 04, 2024
Health insurance marketplace GoHealth has inked an agreement to buy Medicare-focused e-TeleQuote. Get the Full Story Complete the form to unlock this article and enjoy unlimited free access to all...