Medicare Medicaid Category

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.

Republicans Say Efficiencies Will Save Medicaid. Dems Say ‘Not Possible.’

The Trump administration and Republicans broadly have said they can cut Medicaid’s budget without hurting patient care by finding efficiencies. Colorado Rep. Diana DeGette, the top Democrat on a key health care panel, says that’s not so. “We just simply don’t have that much money,” DeGette said at POLITICO’s Health Care Summit Wednesday. President Donald ...

Read More

Bipartisan Bill Targets Prior Authorization Transparency, Physician Decision-Making

Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials with medical need, as determined by board-certified specialist physicians.

Read More

Nonprofit Hospital Margins Flipped Positive In 2024: Fitch

Nonprofit hospitals’ 2024 financial performances are beating the prior year’s tough numbers, though even the stronger organizations remain “well below pre-pandemic levels,” Fitch Ratings said. In a Thursday brief describing the financial profiles of its rated nonprofit hospitals, the agency attributed the year-to-year improvements to stronger revenues and volumes as well as slightly mitigated, but ...

Read More

Nevadans Prepare For Potentially Devastating Cuts To Medicaid

Nearly 800,000 Nevadans are covered by Medicaid, a federal health insurance program used by one in five Americans who would otherwise struggle to afford medical care.

Read More

Nevada Announces Intent To Award Medicaid Contracts

The Silver State plans to award managed care contracts to incumbents UnitedHealth, Elevance, Centene and Molina — along with CareSource, a newcomer to the state.

Read More

Cigna Closes $3.3B Sale Of Medicare Plans To HCSC

Cigna has officially sealed the deal on the $3.3 billion sale of its Medicare business to Health Care Service Corporation. HCSC acquired Cigna’s Medicare Advantage, Part D, supplemental benefits and CareAllies units as part of the deal. While it will no longer operate the Medicare unit directly, Cigna said it will continue to provide pharmacy ...

Read More

Congress Extends Medicare Telehealth Flexibilities For 6 Months

Telehealth groups celebrated the extension, but added that the short-term reprieve means continued uncertainty for providers.

Read More

Newsom’s Office Seeks Another $2.8B To Plug Medicaid Gap

The request comes on top of a $3.44 billion loan proposed last week, with costs for undocumented residents running higher than expected.

Read More

Dr. Oz, With A TV Host’s Flair, Promises Simple Solutions For America’s Health Care Ills

Dr. Mehmet Oz, President Donald Trump’s pick to oversee Medicare, Medicaid and Obamacare, told senators a combination of investments, technology, and regulatory changes could both bring down costs and make America healthy again. “We have a generational opportunity to fix our health care system and help people stay healthy for longer,” Oz told senators on ...

Read More

White House Says Trump Won’t Cut Social Security, Medicare After Musk Remarks

The White House on Tuesday asserted President Trump would not cut Social Security or Medicare after tech billionaire Elon Musk’s comments about the need to examine entitlement spending gained traction. Musk, a top Trump adviser leading the effort to overhaul the federal workforce through the Department of Government Efficiency, appeared on Fox Business Network on Monday for a rare television interview, where he noted that most ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square