Medicare & Medicaid
News articles in this section include actions by federal regulators like the CMS and HHS, as well as information on Medicare and state Medicaid coverage and benefits.
President Donald Trump announced Friday that all 50 states will join in on a program set to provide Most Favored Nation pricing to some drugs within the Medicaid program, bringing the net price of selected drugs down to prices paid in certain other countries. The Trump administration claims that Medicaid will save billions on prescription ...
One thing was true for most employees in previous generations – although their job may not always have paid well, it did pay every two weeks. Far more Americans today work as contractors, freelancers and gig or temporary workers, or are self-employed, run small businesses or have multiple part-time jobs. Along with making their income ...
The Centers for Medicare and Medicaid Services is making it easier for Medicare Advantage insurers to swoop in and rescue struggling rivals. The agency last week notified insurance companies that it may allow them to expand where they sell policies midyear if they acquire competitors. Previously, CMS only considered expansion requests during the annual bid ...
SCAN Health Plan is partnering with retail giant Walmart to launch a co-branded Medicare Advantage plan in two states, the companies announced Wednesday. SCAN and Walmart will connect co-branded Medicare Advantage offerings “more closely” with Walmart’s health and wellness products and services and its technology capabilities. Pending regulatory review and approvals, the companies say offerings ...
The Nevada Health Authority announced it has started mailing notices to affected enrollees regarding eligibility changes and will follow up with text messages and emails throughout the month of September.
Next year is shaping up to be tumultuous for Medicare Advantage as insurers continue to shore up their profits. Why it matters: Benefit cuts and insurer exits from certain markets mean more upheaval for seniors — and right before the midterm elections. Driving the news: Based on insurance broker commentary, “it appears 2027 sets up ...
By the time Democrat Xavier Becerra left Washington, D.C., more Americans than ever had health insurance, owing partly to his work over the years to pass, defend, and expand the Affordable Care Act. It’s an achievement the former congressman and U.S. secretary of Health and Human Services often touts as he campaigns for California governor against Republican Steve Hilton, a former ...
California’s Medicaid program, Medi-Cal, is slashing asset limits 84% in July 2027. As a result, Medi-Cal members risk losing eligibility — and insurers are feeling the pressure. In 2022, California lifted the asset limit from $2,000 to $130,000 for individuals. CMS eventually approved a state proposal to drop the asset test, but California resurfaced the limits at the beginning of 2026. The 2027 ...
A health care advocacy group on Thursday sued the American Medical Association in an effort to get more transparency over the association’s billing codes, which guide billions of dollars in health care payments. PatientRightsAdvocate.org hopes to republish the codes online and allow the public to search them free. The group, which has pushed for health care ...
SCAN Health Plan and Costco will roll out insurance products for older adults in the coming years, according to an Aug. 18 news release. The Wall Street Journal reported that the companies would begin by selling jointly branded Medicare Advantage products in two states, as well as a Medicare supplement in a third state. While the geography was ...