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.

Medicare Plan Finder Upgrade: Will Brokers Need to Keep Hard Copy RX Lists?

The CMS on Tuesday launched a redesigned Medicare Plan Finder to help Medicare beneficiaries and their caregivers shop for and compare Medicare Advantage and Part D plans, the first major update to the most popular tool in a decade. The changes include an improved mobile-friendly design, as 25% of beneficiaries accessed the plan finder via mobile devices in 2018 and that number is growing quickly.

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IRS Says Reinstating ACA Insurance Tax Would Cost Insurers $15.5B in 2020

The Internal Revenue Service on Tuesday published a notice asserting that health insurance companies face a $15.5 billion tax bill in 2020 if the ACA's health insurance tax resumes as planned.

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California Surprise Billing Law Takes Spotlight in Federal Fight

In the battle over what Congress should do to end surprise medical bills, both sides of the debate are pointing to California's experience—and drawing different conclusions. A law enacted in September 2016 put a cap on out-of-network charges, tied either to the median in-network contracted rates with insurers or 125% of Medicare—whichever is higher.

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ACA Coverage Not Yet Spurring Earlier Retirements By Older Workers

If older workers have access to health care outside the workplace, do they choose to retire rather than keep working? Employers struggling to fill vacancies in a tight labor market might be wondering, concerned that the pool of older workers they have to draw on is shrinking. However, such does not appear to be the case.

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Industry Voices – What to Expect On Pending Healthcare Legislation When Congress Returns From Recess

When the House and Senate return from summer recess, surprise billing, drug pricing, and the so-called Cadillac tax are among the key healthcare issues that Congress wants to address.

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Risk-Adjustment Proposal Could Hurt Medicare Advantage

America’s Health Insurance Plans (AHIP) is blasting efforts by the Trump administration to recoup what Medicare managers see as excess risk-adjustment payments to Medicare Advantage plan providers.

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Harris Unveils Disability Plan Focusing On Education and Employment Opportunities

Presidential candidate Sen. Kamala Harris unveiled her plan for Americans with disabilities on Thursday, with a focus on employment through access to education and social programs.

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Bernie Sanders proposes writing off $81B in medical debt

Senator Bernie Sanders is proposing to cancel an estimated $81 billion in past-due medical debt owed by Americans as he vies for the 2020 Democratic presidential nomination using a platform focused on health care.

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Senate Battleground Dems Shun ‘Medicare for All’

The major battleground-state Democrats running to flip the Senate want nothing to do with "Medicare for All." In states like Arizona, Iowa and North Carolina, challengers Mark Kelly, Theresa Greenfield and Cal Cunningham are staying tightly focused on the health care message House Democrats used in 2018: expanding Medicaid, protecting Obamacare and slamming Republican repeal efforts.

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Biden Knocks Trump, Democratic Rivals In New TV Ad Touting Affordable Care Act

Joe Biden knocks both President Trump and some of his fellow Democratic White House hopefuls in a television ad that debuted Tuesday in Iowa in which the former vice president suggests they are all a threat to the Affordable Care Act.

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