Author: Scott Welch
The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced the members of the Healthcare Advisory Committee, a new federal advisory body that will provide expert advice on improving, strengthening and modernizing U.S. health care. The committee will advise HHS Secretary Robert F. Kennedy Jr. and ...
Complaints about enrollment fraud in Affordable Care Act health insurance coverage have bedeviled the federal marketplace for years. Now, the Trump administration is claiming wins in reducing the problem while simultaneously saying more controls are needed. It has proposed a sweeping set of ACA regulations for next year, including stepped-up requirements for some applicants to prove eligibility for subsidies ...
As President Trump’s war in Iran rages on, it’s posing a growing threat to the pharmaceutical supply chain and risks spiking the prices of many drugs, particularly those that depend on petrochemicals. The war in Iran and the effective closure of the Strait of Hormuz have caused energy prices to jump and disrupted supply chains ...
Health insurance exchange carriers rejected nearly one-in-five in-network claims in 2024. That’s according to federal health insurance exchange claims data analyzed by the health policy research institute KFF. The 19% denial rate is tied with 2023 for the highest since the Affordable Care Act of 2010 marketplaces debuted in 2015. Oscar Health, Molina Healthcare, Florida Blue, Community ...
The regulators who oversee the Affordable Care Act public exchange system are wondering whether to treat “non-network plans” as major medical insurance coverage and let the plans use ACA premium tax credit subsidies. The Centers for Medicare & Medicaid Services — the arm of the U.S. Department of Health and Human Services that oversees HealthCare.gov ...
CVS Health subsidiary Aetna, Elevance Health and Humana must face a civil lawsuit alleging they paid kickbacks to online brokerages for Medicare Advantage enrollments, a federal court ruled Wednesday. A whistleblower initiated the case in 2021, which the U.S. District Court for the District of Massachusetts unsealed last year after the Justice Department intervened. According to the ...
“This story was originally published by CalMatters. Sign up for their newsletters.” Gavin Newsom loves to brag about his accomplishments as governor — a syndrome that sometimes backfires when reality raises its ugly head. So it was in January 2022 when he proposed extending health care coverage to everyone in the state, including undocumented immigrants. “I campaigned ...
Republicans are considering reductions in federal health spending to help pay for a budget bill containing as much as $200 billion to fund the Iran war and immigration enforcement. Why it matters: New efforts to rein in health programs are sure to be controversial and open the GOP up to election-year attacks that they’re cutting health ...
If you’ve ever struggled to fall asleep, your diet could be playing a bigger role than you think. Research suggests that certain nutrients — including tryptophan, magnesium and melatonin — are involved in regulating the body’s sleep-wake cycle, although experts emphasize that overall dietary patterns matter more than any single food. “You may have heard before ...
At the end of a seemingly ubiquitous commercial for telehealth company Ro, a characteristically flabbergasted Charles Barkley speaks for us all when he remarks, “Wait, you’re telling me they have a GLP-1 pill for weight loss now?” They do – and it turns out to be as wildly popular as its injectable predecessors. Just about 10 weeks after it ...