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.
A new draft regulation would tighten access to health insurance exchange subsidies as federal agencies continue implementing President Donald Trump’s tax law. The IRS issued a proposed rule Wednesday that would set stricter definitions of who qualifies for tax credit subsidies, toughen eligibility verification requirements and narrow access to financial assistance for noncitizens. This regulation ...
The Trump administration has put a focus on rooting out fraud, waste and abuse, and on Wednesday, regulators offered a look at progress to date in those efforts. The Centers for Medicare & Medicaid Services said in an announcement that so far this year it has identified 189,000 people who were enrolled in Affordable Care ...
As Americans grow increasingly frustrated with their healthcare system, a proposal that has long been kicked around on the Democratic periphery is showing up in debates and on political platforms: “Medicare for All.” According to a 2025 Economist-YouGov poll, nearly 60% of Americans favor a system of Medicare for All, while 85% of Democrats support ...
Every fall, employers that offer prescription drug coverage have an important Medicare Part D responsibility. They must tell Medicare-eligible employees and dependents whether their current employer-sponsored drug coverage is “creditable” or “non-creditable.” The annual notice must be provided before October 15, when Medicare’s Annual Enrollment Period begins. For 2026, that means employers should distribute their ...
Herman spoke with more than 20 health policy experts, industry executives, and benefits professionals, analyzed federal and industry data, and read more than a dozen research articles for this story, part of STAT’s Out of Pocket, Out of Reach series. Workers and employers are drowning in their health insurance premiums. The reason for that deluge: ...
The Medicare Advantage company exits are piling up. At least 11 health insurance companies that sold individual Medicare Advantage plans this year are abandoning the program for 2027 amid cost and regulatory challenges, company and federal data reveal. That compares to seven carriers that quit Medicare Advantage in 2026. Almost all of the insurers that ...
The Trump administration is projecting significant declines in premiums for Medicare Advantage plans in 2027. The Centers for Medicare & Medicaid Services said Monday that it expects weighted MA premium costs to decline by more than 16% in 2027 compared to 2026, with Medicare Advantage prescription drug premiums set to decrease by 38% year-over-year. The ...
Medicare Advantage insurance companies anticipate another year of enrollment declines, the Centers for Medicare and Medicaid Services announced Monday. Insurers project Medicare Advantage membership will fall from 36.3 million this year to 34 million in 2027, CMS said in a news release. Companies made a similar prediction for the 2026 plan year that failed to ...
President Donald Trump announced Friday that all 50 states will join in on a program set to provide Most Favored Nation pricing to some drugs within the Medicaid program, bringing the net price of selected drugs down to prices paid in certain other countries. The Trump administration claims that Medicaid will save billions on prescription ...
One thing was true for most employees in previous generations – although their job may not always have paid well, it did pay every two weeks. Far more Americans today work as contractors, freelancers and gig or temporary workers, or are self-employed, run small businesses or have multiple part-time jobs. Along with making their income ...