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.

After Reducing Deficit, Newsom Proposals Bring Extra Costs To California

Tax revenues have exceeded estimates in California, but Gov. Gavin Newsom’s spending proposals and other state costs could quickly swallow up any extra funds.

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2-Year Extension Of Telehealth, Plus Hospital-At-Home Program Boost Likely As Negotiations Crest In Congress

Lawmakers reached a deal Saturday evening to extend expiring healthcare programs, lobbyists close to the issue said. The package, floated Friday, is more robust than lobbyists expected. The extensions in the package won’t be final until the House and Senate vote on the package this week. The healthcare package includes a 2.5% payment boost for ...

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2025 Outlook: What’s Next For Medicare Advantage

Medicare Advantage has steadily grown over the past decade, and now encompasses more than half of all seniors eligible for Medicare. However, over the past year, the industry has faced significant headwinds, which as stymied some payers’ expansion plans. These challenges range from regulatory changes impacting payments to an ongoing spike in utilization that has ...

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97,000 Nevadans Sign Up For Health Insurance Through Health Link

For the last 11 years, Nevadans have signed up for health insurance through an exchange where private companies offer various plans from which to choose. These days the marketplace is known as Health Link and the latest numbers show 97,000 Nevadans, or about 10% more people, will have healthcare coverage by January 1, 2025. “One ...

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How Trump Could Roll Back Biden-Era Healthcare Regulations

President-elect Donald Trump and his allies make no secret of their disdain toward federal agencies and their desire to fundamentally disrupt the regulatory state. The new administration plans to rely on unorthodox health official picks Robert F. Kennedy Jr. and Dr. Mehmet Oz to shape, and remake, healthcare in Trump’s second term, but administrative law ...

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Congressional GOP Offers New Proposal On Year-End Health Package

Republicans on Capitol Hill have sent a preliminary offer to Democrats for numerous health care policies to be tacked onto the continuing resolution that lawmakers are moving to complete before the Dec. 20 deadline to avert a government shutdown.

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How Potential Medicaid Cuts Could Play Out in California

California, like other states, depends heavily on federal dollars to provide care for its poorest residents. Analyses in 2017 showed GOP’s proposals would cut Medicaid funds flowing from Washington by tens of billions of dollars, perhaps even more, forcing state officials to rethink the scope of Medi-Cal.

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Private Medicare Insurers Are Likely To Benefit In Trump’s New Administration

Medicare Advantage insurers thrived under the first Trump administration, and it’s expected to happen again now that Trump is returning to the White House and Republicans are taking control of Congress.

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Drug Prices Negotiated by Medicare Still Higher Than Other Countries’

Prices for the first 10 drugs negotiated by Medicare fell from their initial net prices, but all drugs except one remained more expensive in the U.S. than in peer countries, researchers said.

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Biden Proposes Medicare, Medicaid Cover Anti-Obesity Drugs

The Centers for Medicare & Medicaid Services is attempting to cover anti-obesity medications under Medicare Part D and Medicaid, the agency announced Nov. 26. Under the Contract Year 2026 MA and Part D proposed rule (PDF), CMS is choosing to follow conventional medical thinking that obesity is a disease. As such, the agency is then able to ...

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