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.
Following significant industry outcry over a proposal to keep Medicare Advantage rates largely flat in 2027, the Trump administration has bumped payments up slightly in the final policy. The Centers for Medicare & Medicaid Services initially proposed a 0.09% increase in rates as part of the MA and Part D Advance Notice. In the final rule, the increase ...
Medicaid applications in Nevada skyrocketed by an average of 62% in December 2025 and this January and February over the same months a year earlier. The largest spike was in January, when the average daily number of pending applications for three categories of Medicaid – family medical; aged, blind, and disabled; and unregistered applicants (those who have ...
The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced the members of the Healthcare Advisory Committee, a new federal advisory body that will provide expert advice on improving, strengthening and modernizing U.S. health care. The committee will advise HHS Secretary Robert F. Kennedy Jr. and ...
The share of Affordable Care Act insurance customers in plans that cost more than $6,000 a year doubled, a sign of the squeeze on household budgets after Congress let Covid-era assistance expire. The US Centers for Medicare and Medicaid Services posted data late Friday on ACA plans, also called Obamacare, that showed total enrollment this year dipping ...
States are paying contractors such as Deloitte, Accenture, and Optum millions of dollars to help them comply with the One Big Beautiful Bill Act — a law that will strip safety-net health and food benefits from millions. State governments rely on such companies to design and operate computer systems that assess whether low-income people qualify ...
CVS Health subsidiary Aetna, Elevance Health and Humana must face a civil lawsuit alleging they paid kickbacks to online brokerages for Medicare Advantage enrollments, a federal court ruled Wednesday. A whistleblower initiated the case in 2021, which the U.S. District Court for the District of Massachusetts unsealed last year after the Justice Department intervened. According to the ...
“This story was originally published by CalMatters. Sign up for their newsletters.” Gavin Newsom loves to brag about his accomplishments as governor — a syndrome that sometimes backfires when reality raises its ugly head. So it was in January 2022 when he proposed extending health care coverage to everyone in the state, including undocumented immigrants. “I campaigned ...
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 ...
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 ...
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.