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.

State Medicaid Officials Project Enrollment Nosedive Next Year Amid Unwinding

State Medicaid officials are predicting steep enrollment declines and rising state spending on the safety net insurance program as pandemic-era policies expire.

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AMA Urges Coverage Of Obesity Treatments As Payers Balk At Costs

The American Medical Association called on insurance companies, employers, and government programs to cover obesity treatments even as many remain reluctant to pay for them, fearing the costs of covering the drugs at a mass scale. The large physicians’ lobbying group voted to pass a resolution at the association’s interim meeting Monday saying it will ...

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California Single Payer Next Step

California governor Gavin Newsom signed SB 770, a bill related to Single Payer health care in California in October 2023. The bill does not create a Single Payer health system in California, and it does not detail any components of what the system would entail. Instead, it focuses entirely on obtaining federal funding for a state-run single-payer health care system in California.

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CMS Finalizes 2024 Medicare Hospital, Doctor Payments, 340B Fix And Price Transparency Requirements

Regulators finalized a number of rules Thursday with sweeping implications for providers in the Medicare program, including rates for next year that doctors and hospitals slammed as insufficient.

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Biden Administration Proposes Capping Broker Payment In MA, Following Pressure

The CMS proposed a rule on Monday to stop brokers from steering beneficiaries to certain plans, in regulators’ latest move to curb MA marketing misconduct.

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California Healthcare Provider’s Move Shows Pitfalls Of Medicare Advantage

Many people on Medicare look the other way when the program’s annual enrollment period rolls around, preferring simply to ignore the hassle. But for thousands of seniors in San Diego, California, Medicare enrollment this year has become a confusing scramble to find new insurance – or new health providers. Scripps Health, a major Southern California ...

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Health Spending Expected To Outpace Growth In The Overall Economy

A recent report from the Centers for Medicare and Medicaid Services (CMS) shows that per capita health spending slowed in 2021. The growth rate was 2.6% down from 9.9% in 2020, after a ramp-up that year due to the COVID-19 pandemic. As utilization returns to pre-pandemic levels and price inflation in the health sector abates somewhat, per ...

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Medicare Advantage Brokers (And Deceptive Pitches) Scrutinized At Senate Hearing

At a Senate hearing on Wednesday, lawmakers called for additional oversight over private companies offering Medicare Advantage, in response to misleading and predatory advertising targeting seniors during open enrollment.

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Insured Rates Up, But Nevada Medicaid Still Struggles Decade After Expansion

Nearly a decade after Nevada implemented Medicaid expansion under the Affordable Care Act, the results are in — the state’s uninsured rate has plummeted, but challenges still plague the state’s health care ecosystem.

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Medicare May Worsen Health Care Workforce Shortage

There’s a health care crisis here in Nevada. Health care providers and treatment centers are dealing with crippling staff shortages, with Nevada ranking 45th in the nation for the number of active physicians per 100,000 residents, according to the Association of American Medical Colleges.

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