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.
In 2021, the California Assembly introduced a new bill, AB 1400, which – if passed – would have eliminated health care in California, as we know it today. Instead, all health care in California would be provided by one new “Single Payer” system called “CalCare” – with no other options for Californians. The move would have eliminated all existing ...
Sen. John Kennedy of Louisiana is taking aim at California’s Medicaid program for providing housing assistance, food, and other social services to high-need, low-income patients who tend to rack up big healthcare costs and, he argued, strain taxpayer funds. The Republican blasted California during back-to-back political attacks in May, saying the heavily Democratic state is ...
One issue will decide Steven Cohen’s vote for Nevada governor this fall: Which candidate can best protect him from getting kicked off Medicaid? Cohen is a 38-year-old Las Vegas resident with autism and has dual enrollment in Medicaid and Medicare. He said he’s very concerned that he could lose his Medicaid coverage once work requirements ...
All Nevada hospice and home health providers are set to be reviewed over the next six months due to what officials call “elevated fraud risk.” A temporary pause on hospice and home-health care licenses issued by the state and a six-month moratorium on new enrollments for Nevada Medicaid was officially approved and implemented on June ...
Twenty-five Democratic-led states plus the District of Columbia have sued the Trump administration over its new work requirements for people who get their health insurance through Medicaid. At issue is a “medically frail” designation that the states say is too narrow and will make it too difficult for ill and disabled people to remain on Medicaid. They’re challenging ...
Jude Pare and his partner, Diane Tix, live in rural Minnesota until temperatures dip below freezing, when they take refuge in Arizona for the winter. While away, their mail is forwarded. But Pare, 77, said he didn’t receive any warning from his Medicare prescription drug plan that his $0 monthly premium was about to increase. ...
The Trump administration has officially launched its new “bridge” model that brings GLP-1 coverage for weight loss to Medicare beneficiaries. Eligible people enrolled in Medicare Part D can secure certain GLP-1 medications for weight loss or management at $50 each month. The program will remain in place through the end of 2027, the Centers for ...
The Department of Justice unveiled charges against 455 people, including 90 doctors and other licensed medical professionals, for their alleged participation in healthcare schemes that involved more than $6.5 billion in false claims and other patient harm. The charges were part of a two-week coordinated fraud takedown headed by the DOJ Criminal Division’s Health Care ...
Hospice administrators, clinicians and healthcare advocates gathered Wednesday to discuss a growing problem inside an industry meant to provide comfort at the end of life — and what providers say must change to protect patients. The meeting comes as Nevada and federal officials intensify efforts to crack down on suspected fraud within the hospice industry. ...
Officials in the administration of President Donald Trump want to change one of the foundations of the Affordable Care Act health insurance regulation framework. The Centers for Medicare & Medicaid Services is thinking about limiting a state’s ability to adjust its ACA essential health benefits package, or standard benefits package, to suit local needs. CMS ...