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.

Lowering Prescription Costs For Medicare Beneficiaries Lifted Burdens For Nevadans, They Tell HHS Secretary

The Inflation Reduction Act calls for prescription drug prices for seniors on Medicare to be lowered and out-of-pocket expenses capped at $2,000 per year starting in 2025, the White House said. The act also capped the price of insulin, which helps regulate diabetes, at $35 a month for Medicare users.

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Wall Street Journal Roasts Medicare Advantage Plan Strategy

The Wall Street Journal has added to the pressure on Medicare Advantage plan issuers by publishing its own analysis of how the issuers score their enrollees' health.

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Medicare Proposes 2.6% Bump To Hospital Outpatient Pay Next Year

The sweeping payment rule also solidifies continuous eligibility requirements for children in Medicaid and CHIP, and holds hospitals to higher obstetric care delivery standards.

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Insurers Bilk Medicare for $50 Billion to Treat Fictitious Illnesses

Private insurance firms running Medicare Advantage programs have been overcharging the federal government billions of dollars by making patients look sicker than they really are, according to a report in The Wall Street Journal on Monday.

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Where Trump And Biden Stand On Social Security And Medicare

As Americans tuned into the presidential debate last Thursday, critical issues like Social Security and Medicare came up. These programs act as lifelines for millions of Americans, especially seniors who have historically been a strong voting block.

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California Voters Will Decide Who Wins On Health Care Tax: Gavin Newsom Or Doctors

The health care industry put a measure on the November ballot that would raise more money for Medi-Cal and block lawmakers from spending it on general government services. Billions of dollars are on the line.

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Biden Administration To Lower Costs For 64 Drugs Through Inflation Penalties On Drugmakers

A provision of Biden’s Inflation Reduction Act requires drugmakers to pay rebates to Medicare if they hike the price of a medication faster than the rate of inflation.

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California Leaders Tussle With Health Industry Over Billions of New Dollars for Medi-Cal

Gov. Gavin Newsom, state lawmakers, and health industry leaders have a small window to reach an agreement on billions of new dollars for Medi-Cal before it’s put to voters in November.

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Medicaid for Millions in America Hinges on Deloitte-Run Systems Plagued by Errors

(Editor’s Note: the KFF Health story identified California as having in excess of $500 million in Deloitte Medicaid contracts) Deloitte, a global consultancy that reported revenue last year of $65 billion, pulls in billions of dollars from states and the federal government for supplying technology it says will modernize Medicaid. The company promotes itself as the industry ...

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Mark Cuban’s D2C Pharmacy Won’t Beat Most Insured Patients’ Out Of Pocket Drug Prices, One Study Finds

Insured patients are often better off buying their generic prescriptions through their health insurance benefits than through Mark Cuban Cost Plus Drug Company, though those without insurance could find cost savings in over a quarter of their pharmacy fills, according to a study published Friday in JAMA Health Forum. Across a sample of nearly 844 ...

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