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.
The resources serve as a “step forward” as the agency looks to propose enforceable standards, HHS Deputy Secretary Andrea Palm said in a statement.
After she was diagnosed at age 48 with Type 1 diabetes, Stacey Silverman muddled through her days with high blood sugar, fatigue and splitting headaches. Taking a long-acting form of insulin called Levemir, one of many types of the hormone on the market, resolved those blood sugar swings. Now the 55-year-old Dallas-area resident worries her ...
Rule would require Medicare Advantage organizations, Medicaid and other government-sponsored health programs to include specific reasons for denying requests
With the price of GLP-1s reaching well over $1000 a month, local officials are warning that rising costs threaten to quickly drain government spending accounts.
The Value in Health Care Act would provide a 2-year extension of the 5% advanced payment model incentives, which allow clinicians to cover some of the costs of moving to a new payment model, including expanding care teams.
Medicare Part D will cover certain over-the-counter products when prescribed by a clinician, and when it does, the program pays far more for these drugs, according to a recent study. Researchers at Johns Hopkins identified 22 drugs that are available both over-the-counter and via prescription; in 2020, Medicare paid out claims for 20 of those therapies. ...
California became the first state on Monday to offer comprehensive health insurance to all undocumented immigrants, a plan expected to expand to roughly 700,000 residents living in the Golden State.
Six months after the state restarted its health insurance eligibility process, more than 835,000 people who had their Medi-Cal terminated between June and October lost that coverage because of incomplete or missing paperwork.
While its merger with Humana may have fallen through for now, Cigna is attracting plenty of interest for the rumored sale of its Medicare Advantage business, Bloomberg reported. Sources close to the matter told the outlet that Health Care Service Corp. and Elevance Health are “competing” to scoop up the MA segment. Cigna is expecting ...
Milagro, a Peruvian immigrant in Riverside County, California, has had spotty access to health care in the two decades she’s been in this country. The 48-year-old, who works as the office manager at a nonprofit, can get emergency care through a narrow set of benefits the state makes available to immigrants without legal residency. And ...