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.
Dianne Williams said she lost weight and lowered her blood pressure thanks to quarterly doctor appointments, monthly phone calls with a nurse, and a blood pressure cuff she uses at home that transmits data to her care team. “It’s good to have somebody talk to you and tell you what your progress is like. And ...
Next July, new Medi-Cal rules prohibit seniors and people with disabilities from saving more than $21,000. State leaders say they needed to make cuts to deliver a balanced budget. Senior and disability rights advocates argue the cuts unfairly target vulnerable groups.
In March 2025, when California ran out of Medicaid funds to pay doctors and hospitals, the state borrowed $3.4 billion to keep the program afloat. It was, as a spokesperson for Gov. Gavin Newsom insisted, nothing new. Indeed, a handful of times over the years, the state had taken out internal, short-term loans to sustain ...
The state has not investigated 26,000 of its 28,000 highest-risk Medi-Cal providers, the report says. Health officials dispute it.
Late last month, the Trump administration announced that it had cut 760,000 people from the Affordable Care Act rolls, claiming fraud and improper enrollments and touting billions in potential taxpayer savings. Not all of those kicked off were fraudulently enrolled, KFF Health News has learned. Insurance industry sources said the Centers for Medicare & Medicaid ...
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: ...