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.
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 ...
The Centers for Medicare and Medicaid Services is making it easier for Medicare Advantage insurers to swoop in and rescue struggling rivals. The agency last week notified insurance companies that it may allow them to expand where they sell policies midyear if they acquire competitors. Previously, CMS only considered expansion requests during the annual bid ...
SCAN Health Plan is partnering with retail giant Walmart to launch a co-branded Medicare Advantage plan in two states, the companies announced Wednesday. SCAN and Walmart will connect co-branded Medicare Advantage offerings “more closely” with Walmart’s health and wellness products and services and its technology capabilities. Pending regulatory review and approvals, the companies say offerings ...
The Nevada Health Authority announced it has started mailing notices to affected enrollees regarding eligibility changes and will follow up with text messages and emails throughout the month of September.
Next year is shaping up to be tumultuous for Medicare Advantage as insurers continue to shore up their profits. Why it matters: Benefit cuts and insurer exits from certain markets mean more upheaval for seniors — and right before the midterm elections. Driving the news: Based on insurance broker commentary, “it appears 2027 sets up ...
By the time Democrat Xavier Becerra left Washington, D.C., more Americans than ever had health insurance, owing partly to his work over the years to pass, defend, and expand the Affordable Care Act. It’s an achievement the former congressman and U.S. secretary of Health and Human Services often touts as he campaigns for California governor against Republican Steve Hilton, a former ...