The Trump administration is proposing significant changes to the metrics used to the calculate the Medicare Advantage star ratings. As part of the Contract Year 2027 MA and Part D proposed rule, the Centers for Medicare & Medicaid Services has pitched that the Excellent Health Outcomes for All award, known previously as the Health Equity ...

President Trump’s trial balloon for extending the Affordable Care Act’s enhanced subsidies has been shot down, but the real moment of truth for him and Congress may come in the run-up to the next government funding cliff, in late January. Why it matters: There still are multiple scenarios for preventing steep increases in premium costs for millions of ...

Medicare program managers could make life a little easier in 2027 for employers that offer health savings accounts, health reimbursement arrangements or individual coverage health reimbursement arrangement plans. Officials want to exempt the sponsors from having to tell health plan participants who are ages 65 or older whether they have solid prescription drug coverage. The ...

Eliza Brader worries she soon will need to prove she’s working to continue receiving Medicaid health coverage. She doesn’t think she should have to. The 27-year-old resident of Bloomington, Indiana, has a pacemaker and a painful joint disease. She also has fused vertebrae in her neck from a spinal injury, preventing her from turning her ...

Healthcare organizations are facing evolving ransomware tactics as data extortion attacks are on the rise. Cyber attackers are taking advantage of the sensitive data held by healthcare providers to launch quicker and easier attacks, according to Sophos, a cybersecurity software and security services company. Attackers are increasingly focused on data extortion, or data theft, rather ...

Breakthroughs in weight-loss medicine are presenting state Medicaid officials with what looks like a sure bet: Spend big now to cover the drugs and reap savings when diabetes, heart disease and cancer rates drop. States are hesitating to take it. The few states that have decided to cover drugs like Ozempic and Wegovy to help ...