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.
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 ...
“This story was originally published by CalMatters. Sign up for their newsletters.” Two years ago, California hit a milestone decades in the making: Nearly every person in the state qualified for health insurance, regardless of immigration status and income, pushing the state’s insured rate to a record 95%. Now that progress is unravelling. Facing budget ...
Medi-Cal cuts will strain hospitals already operating at a loss. The fallout: fewer services and higher costs for the privately insured too.
National Fraud Enforcement Division’s first announced charges in Nevada since the formation of the West Coast Health Care Fraud Strike Force A federal grand jury in the District of Nevada returned an indictment yesterday charging Stephen Dubin, M.D., 74, of Henderson, Nevada, with a $95 million scheme to defraud Medicare by billing for medically unnecessary ...
Many seniors and disabled people in California who need long-term care will soon face a dramatic reduction in assets they can keep and still qualify for Medi-Cal. Starting in July 2027, the individual limit will fall from $130,000 to $21,000, while the limit for couples will drop from $195,000 to $31,000 when they apply for ...
Vanessa Barahona received a call this past spring from Angelica at Kern Family Health Care in Bakersfield, California, telling her it was time to renew her coverage under Medi-Cal, the state’s version of Medicaid. Angelica helped Barahona, 41, schedule an appointment to complete her paperwork in person at Kern Family’s offices before she submitted it ...
The Trump administration announced it will end a subsidy program aimed at keeping premiums low for Medicare Part D beneficiaries. In a notice posted Tuesday, the Centers for Medicare & Medicaid Services released key guidance for Part D plans as they prepare bids ahead of the upcoming annual enrollment period. In it, the agency said it would ...
The Trump administration is withholding more than $1 billion in Medicaid funding to California and Minnesota over what it deems suspect claims. Tuesday’s funding suspension is the latest action by the Centers for Medicare and Medicaid Services to target Medicaid funding in the two states. More than $2.5 billion has been deferred from them due ...