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 Trump administration is planning an experiment to cover weight loss drugs under Medicare and Medicaid, potentially benefiting millions of Americans struggling with obesity.
UnitedHealthcare CEO Tim Noel offered investors a deeper look at the medical cost spike that’s plaguing the insurance giant’s finances. He said during the company’s earnings call Tuesday morning that pricing assumptions set by the company “were well short of actual medical costs” for 2025. UHC’s current outlook, he said, instead reflects an additional $6.5 ...
The Centers for Medicare & Medicaid Services has published its preliminary technical Medicare Part D bid information for the 2026 contract year, with updates intended to limit significant increases in cost-sharing and premium hikes. The changes in how CMS approves certain standalone prescription drug plan (PDP) sponsors have resulted in the first-ever rejections of standalone PDP bids. ...
Fortina Hernández is called “the one who knows it all.” For more than two decades, the community health worker has supported hundreds of families throughout southeast Los Angeles by helping them sign up for food assistance, sharing information about affordable health coverage, and managing medications for their chronic illnesses. She’s guided by the expression “an ...
A number of Republicans criticized Medicare Advantage during a congressional hearing on Tuesday, suggesting that the privatized Medicare program could be due for an overhaul from Washington. Calls to reform MA from Democrats are nothing new. But members of the GOP condemning MA is notable given the party’s traditional support for the program, in which ...
A new bipartisan bill would mandate that Medicare Advantage (MA) insurers “adequately reimburse” providers for services, citing a trend of health systems pulling out of MA contracts. The Prompt and Fair Pay Act was introduced by Reps. Lloyd Doggett, D-Texas, and Greg Murphy, R-N.C. The legislation would require that insurers pay providers at least what ...
Medicare Advantage (MA) markets are highly concentrated across the country, according to a new study from KFF. As of 2024, 90% of Medicare beneficiaries live in a county where those enrolled in MA had plans sponsored by just one or two insurers, according to the report. The researchers found that 79% of counties were highly ...
More than half of Americans — 57 percent — said in a new survey that they think the GOP’s sweeping package extending tax cuts and slashing welfare services will increase their health-care costs. Thirteen percent in the CBS/YouGov poll released Sunday said that the “big, beautiful bill” will lower their health-care costs and 33 percent said there will be ...
CMS Administrator Mehmet Oz, MD, is charting an ambitious path to reshape federal healthcare policy in line with President Donald Trump’s “Make America Healthy Again” agenda. His vision comes as President Trump on July 4 signed The One Big Beautiful Bill Act, a sweeping package of reforms targeting Medicaid, Medicare, and the ACA marketplace. From plans to ...
The One Big Beautiful Bill Act that Trump signed on the 4th of July will take a $340 billion bite out of hospital budgets over a decade to pay for tax cuts and other Trump priorities. Then again, maybe it won’t.