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.

GOP Wrestles With Disagreements Over Medicaid Cuts

The House Energy and Commerce Committee is planning a May 7 meeting to finalize and advance its portion of the bill, leaving little time for members to iron out differences. The legislation calls for the committee to find $880 billion in savings over a decade, with most of it expected to come from health programs.

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Biden Let California Get Creative With Medicaid Spending. Trump Is Signaling That May End

California uses Medicaid to pay for a range of nontraditional health care services, including housing. The Trump administration wants to scale back those programs.

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Medi-Cal Under Threat: Who’s Covered and What Could Be Cut?

Medi-Cal, California’s complex, $174.6 billion Medicaid program, provides health insurance for nearly 15 million residents with low incomes and disabilities. The state enrolls twice as many people as New York and more than three times as many as Texas.

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CMS May Soon Propose Medicaid Provider Tax Regulation

The Centers for Medicare & Medicaid Services (CMS) submitted a regulation to the Office of Management and Budget (OMB) that could upend Medicaid provider tax program financing. The regulation is titled “Preserving Medicaid Funding for Vulnerable Populations—Closing a Health Care-Related Tax Loophole.” “This proposed rule would update existing regulations that govern the process for states ...

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When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too

For several years, Fred Neary had been seeing five doctors at the Baylor Scott & White Health system, whose 52 hospitals serve central and northern Texas, including Neary’s home in Dallas. But in October, his Humana Medicare Advantage plan — an alternative to government-run Medicare — warned that Baylor and the insurer were fighting over ...

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Once All-Powerful, Pharma’s Allies In Washington Are Fleeting

Big Pharma isn’t sure how to handle Donald Trump’s Republican Party. Trump is pledging to impose tariffs on drug imports, while Health Secretary Robert F. Kennedy Jr. has vilified the drug industry’s profits and questioned the safety of its products. Long a lobbying powerhouse in Washington, pharma’s struggling to settle on a strategy for defending ...

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Trump Order Seeks Changes To Medicare Drug Price Negotiation Program, PBM Reform

The wide-ranging order requires the Department of Health and Human Services to seek public comment on the drug price negotiation program, which effectively requires manufacturers to agree to lower prices for certain drugs, for potential changes in upcoming years.

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CMS To End Federal Match For States’ Medicaid Funding Requests

The Centers for Medicare and Medicaid Services (CMS) will restrict federal funds for state-based programs that go toward certain priorities like rural broadband and student loan repayments. The department is looking to return to the “core mission of Medicaid” by rejecting, or not extending, federal matching fund requests for designated state health programs (DSHPs) and ...

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Health Insurance Stocks Soar After Boost To Medicare Reimbursement Rates

Shares of U.S. health insurers jumped on Tuesday after a bigger-than-expected increase in the government’s reimbursement rates for Medicare Advantage plans in 2026 signaled some relief for a sector burdened with steep medical costs. Medicare-focused insurer Humana (HUM.N), opens new tab led gains with a 16% jump, while other health insurers including UnitedHealth Group (UNH.N), opens new tab, ...

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California OKs $2.8B To Close Medicaid Funding Gap After Expanding Immigrant Coverage

California Gov. Gavin Newsom signed legislation Monday to close a $2.8 billion budget gap in the state’s Medicaid services and ensure coverage through June for 15 million people, including immigrants, who receive health care via the program. The legislation is part of the state’s solution to solve the $6.2 billion hole in the state’s Medicaid budget. It ...

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