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.
At a White House event, Vance said the Centers for Medicare & Medicaid Services would withhold $1.3 billion in Medicaid funding from the state of California, as officials have "not taken fraud very seriously."
The US Supreme Court on Monday rejected a series of appeals from several of the nation’s largest drugmakers challenging a program that is expected to save taxpayers and the federal government billions of dollars by requiring the companies to negotiate with Medicare on the prices for some of their most popular drugs. The court’s decision to deny ...
Gov. Joe Lombardo on Thursday applauded the creation of a new federal task force to combat Medicaid provider fraud and talked about steps being taken at the state level. Lombardo outlined the state’s efforts to fight fraud, waste, and abuse, including the creation of the Nevada’s first Medicaid Inspector General within the Nevada Health Authority. ...
Nevada next year will begin losing out on hundreds of millions of dollars in supplemental Medicaid payments to the state’s hospitals, thanks to President Donald Trump’s “One Big Beautiful Bill Act”. That is just one of the impacts administrators warned lawmakers the state will have to reckon with next year when setting the state’s next ...
The Trump administration has issued a six-month moratorium on hospice and home health agencies enrolling in Medicare as part of its efforts to combat fraud. The Centers for Medicare & Medicaid Services said in an announcement on Wednesday morning that the “data-driven” decision targets a key source of fraud activity. It follows a similar announcement ...
More access to affordable weight-loss medications is coming this summer for adults on Medicare. Starting in July, certain Medicare enrollees can pay $50 a month for specific prescription GLP–1 medications, according to the Centers for Medicare and Medicaid Services. Medicare announced the pilot program for the popular weight loss medications on Wednesday. The Medicare GLP-1 Bridge program will run ...
“This story was originally published by CalMatters. Sign up for their newsletters.” California has emerged as the epicenter of a sweeping hospice fraud crisis, one that is costing taxpayers hundreds of millions of dollars and putting vulnerable seniors at risk. Yet years after the state acknowledged the problem, key regulatory fixes remain in limbo while ...
At Martin Luther King, Jr. Community Hospital, patients on gurneys line the hallways of the emergency department waiting for care, and overflow mental health patients are consigned to outdoor tents. The 152-bed hospital, which sits on a sprawling medical campus close to the predominantly Latino and Black neighborhood of Watts, is struggling for financial stability. ...
Humana executives gave investors a peek Wednesday into the company’s thinking around the 2027 Medicare Advantage bid cycle as elevated costs continue to sting the industry. CEO Jim Rechtin said during the insurer’s earnings call that to achieve the goal of returning to a “stable margin” by 2028, it will need to look at adjustments ...
State officials remain uncertain on how to enforce a requirement that many adult Medicaid enrollees show they’re working — even as one state launches its program this week — and they’re taking a variety of approaches to the job, including, in a handful of states, using artificial intelligence. A KFF survey of Medicaid officials from 42 states and the ...