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.
Health insurers have perfected a way to wring billions more in revenue from the Medicare program by combing patient medical charts for additional diagnosis codes to submit to the federal government for payment.
“What I worry about the most is the agents and brokers” selling the plans, Kreidler said. “They are looking at the [large] commission, and that blinds them to their legal responsibility” to inform consumers about the limitations of the short-term plans.
Accountable care organizations were among the key initiatives of the Affordable Care Act, designed to help control soaring Medicare costs. ACOs were expected to save the government nearly $5 billion by 2019, according to the Congressional Budget Office. It hasn’t come anywhere close.
When Carrie and Jeffrey Olsen took in their year-and-a-half-old foster child, Daemion, they knew that he would need a lifetime of guidance.
Anthem’s decision to exit some individual markets under the Affordable Care Act in favor of growing its Medicare business helped boost profits in the health insurer’s second quarter.
The Congressional Budget Office vowed it would ramp up oversight of its cost-estimate process after it underestimated the impact of a Medicare Part D change made by Congress by $4 billion.
Despite receiving billions of dollars in taxpayer money, Medicaid insurers are lax in ferreting out fraud and neglect to tell states about unscrupulous medical providers, according to a federal report released Thursday.
The Centers for Medicare & Medicaid Services launched several initiatives on Tuesday aimed at cutting down on fraud and waste in Medicaid.
Congress and the Trump administration are revamping Medicare to provide extra benefits to people with multiple chronic illnesses, a significant departure from the program’s traditional focus that aims to create a new model of care for millions of older Americans.
House Democratic Leader Nancy Pelosi (Calif.) said Thursday that "Medicare for All" proposals should be “evaluated” if Democrats win back the House this year, adding “it’s all on the table."