Why understanding utilization review is key for physicians As physicians, it’s important to understand the role of utilization review staff in the healthcare system. While nobody likes to play the game of ensuring proper admission status, it’s a necessary part of ensuring the hospital gets paid for the care provided. If the admission status is incorrect, the hospital could receive no payment for the entire stay of the patient, even if they received great care from the physician. Utilization revi

With Medicare prescription-drug benefits likely to make major formulary changes in 2026, beneficiaries who hope to minimize their costs at the pharmacy counter need to stay vigilant in the coming months. What do you need to know for this fall’s Medicare Open Enrollment, which runs from October 15 through December 7? Medicare prescription-drug benefits are shifting. In 2026, Parts B and D premiums are expected to rise, deductibles will increase, and a $2,100 cap on out-of-pocket prescription-drug