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.
A budget deal between the governor and the state legislature will expand Medi-Cal reimbursement rates starting next year. Medi-Cal is the state’s health care program covering low-income Californians. Just over a million San Diego County residents rely on Medi-Cal for health care. Advocates hope the move will give recipients more options and better access to ...
Major players in California’s health care field have reached a deal on how they want the state to spend $19 billion in proceeds of a renewed tax on insurance plans plus the federal funds that go with it — a development that followed months of private negotiations between bitter industry rivals, state lawmakers and the governor’s office.
Medicaid Disenrollment Is Happening Faster Than Anyone Thought, Says Former Medicaid Deputy Director
The loss of coverage for Medicaid recipients is happening faster than anyone believed it would, according to Karen Shields, chief client engagement officer at Gainwell Technologies, a large payer of Medicaid claims. “It’s faster than we thought,” said Shields, a former deputy director for the Center for Medicaid and CHIP Services. “The call for action indicates everything ...
Most people with either public or private healthcare insurance like their coverage—but they like it a lot less when they’re sick, according to a new KFF survey.
A surge of Medicare spending on hospitals and other services later this decade will help U.S. health care expenditures outpace inflation and top $7.2 trillion by 2031, federal actuaries said on Wednesday. Why it matters: The new projections show medical spending across all categories rebounding from the pandemic doldrums, with hospitals being the biggest cost-driver. That likely will ...
There’s an old proverb—everything old is new again. That is certainly true for healthcare policy. Last month, Sen. Bernie Sanders, I-Vt., introduced the Medicare for All Act of 2023, the single-payer health plan the Vermont socialist has been pushing for years. President Biden will surely dust off his old proposal for a public option whenever he launches ...
The Department of Health and Human Services (HHS) has released a 43-drug list of the Medicare Part B prescription treatments that must repay the program for raising prices above the rate of inflation. The second quarterly list takes effect in July and is an expansion over the 20 price-capped drugs from April through June. According ...
Too many Americans are losing Medicaid coverage because of red tape, and states should do more to make sure eligible people keep their health insurance, the Biden administration said Monday. More than a million Americans have lost coverage through the program for low-income and disabled Americans in the past several weeks, following the end of ...
Throughout the COVID-19 public health emergency, Nevada Medicaid has provided continuous coverage to all individuals and families enrolled in the state health insurance program. Continuous coverage enables families to stay insured without needing to verify their eligibility annually. This allowed families to continue to visit doctors and receive medications without interruptions.
Merck on Tuesday sued to stop the federal government from implementing a new Medicare drug price negotiation program. Merck called the negotiation process that Democrats designed in a law last August “a sham,” arguing that the federal government “dictates” prices. The company argues in the lawsuit that the Inflation Reduction Act is unconstitutional for two reasons. The ...