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.

Rising Health Costs Push Some Middle-Aged Adults To Skip the Doc Until Medicare

John Galvin knows he needs a colonoscopy. But he’s waiting to schedule the procedure until December, when he turns 65 and qualifies for Medicare. He was already thinking about delaying it — then his monthly Obamacare insurance premium payment tripled this year to $2,460, about a third of his income, he said. And with a ...

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Nevada’s Medicaid Budget Will Be Among Hardest Hit Under New Federal Law, Report Finds

State Medicaid budgets will be reduced by a total of $665 billion over the next decade, after President Donald Trump’s One Big Beautiful Bill Act cuts federal investment in the health insurance program, according to a new analysis. Researchers from RAND Health, a policy and research nonprofit, analyzed state and federal data to estimate how ...

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The Feds Will Overpay Medicare Advantage Plans By $76B This Year, MedPac Estimates

The federal government will pay $76 billion more for individuals enrolled in Medicare Advantage than it would have for enrollees in the traditional program, according to a new report.

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Medicare Advantage ‘Dark Money’ Group Attempts To Win Higher Payments for Insurance Companies

Judging by more than 16,400 comments recently posted on a federal government website, you’d think there was a groundswell of older Americans demanding that federal officials hike payments to their Medicare Advantage health insurance plans. Yet about 82% of the comments are identical to a letter that appeared on the website of a secretive advocacy ...

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Congressional Committee Says Seniors Paid Higher Premiums Due To Alleged Medicare Overpayments

A congressional committee’s investigators released a report on Tuesday that found the average ​American senior’s Medicare premiums last year were about 10% higher due to ‌alleged overpayments to private Medicare Advantage plans. Medicare Part B premiums that most seniors pay were partly pushed up by controversial health-insurer practices such as adding diagnoses to trigger higher ...

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Insurance Groups Say Proposed Flat Medicare Advantage Rates Fail To Meet The Moment

The Trump administration has proposed flat rates in Medicare Advantage (MA) for 2027, and insurers argue in new commentary that those levels do not reflect the realities of the program. In late January, the Centers for Medicare & Medicaid Services (CMS) released its annual proposed advance notice governing MA and Part D. The proposal includes ...

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Medicaid Is Paying for More Dental Care. GOP Cuts Threaten To Reverse the Trend.

Star Quinn moved to Kingsport, Tennessee, in 2023, the same year the state began covering dental costs for about 600,000 low-income adults enrolled in Medicaid. But when Quinn chipped a tooth and it became infected, she could not find a dentist near her home who would accept her government health coverage and was taking new ...

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All Eyes On Mia Bonta’s Corporate Medi-Cal Tax

DRIVING THE DAY: Tom Steyer is telling union leaders in California that he’d back a special election to raise corporate taxes in his first year as governor as he tries to solidify his claim to the progressive lane in a crowded Democratic field, Melanie Mason scoops. Steyer confirmed the discussions in an interview and said the details of such ...

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When It Comes to Health Insurance, Federal Dollars Support More Than ACA Plans

Subsidies. Love ’em or hate them, they dominated the news during the Affordable Care Act’s sign-up season, and their reduction is now hitting many enrollees in the pocketbook. While lawmakers continue to disagree on a way forward, and the politics of affordability keeps the issue front and center, it would be understandable to think these are the ...

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Medicare Advantage Enrollment Hits 35.5M After Another Year Of Slow Growth, CMS Data Show

Just shy of about 35.5 million seniors were enrolled in Medicare Advantage plans, per new federal data, representing another year of slim growth in the program. MA enrollment has grown rapidly over the past decade, with the program eclipsing more than 50% of Medicare-eligible beneficiaries. However, growth of late has stagnated as costs continue to ...

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