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.

How Agents Can Deploy Soft Benefits to Win the Talent War

Insurance agencies that stress “soft” benefits have the upper hand in recruiting workers in today’s competitive job market.

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Senate Confirms Trump Pick to Head Medicare and Medicaid

President Donald Trump's pick to run Medicare and Medicaid won confirmation Monday from a divided Senate as lawmakers braced for another epic battle over the government's role in health care and society's responsibility toward the vulnerable.

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Trump and Health Care: President Gives Congress Five Principles for Obamacare Replacement

President Donald Trump on Tuesday urged Democrats to work with Republicans in Congress to repeal and replace the Affordable Care Act, which he claimed, yet again, is a "disaster."

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Key Republican: GOP Eyeing Major Change to Medicaid in ObamaCare Bill

A top House Republican on healthcare said Tuesday that lawmakers are looking to dramatically restructure Medicaid as part of an ObamaCare repeal bill.

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California Fines Kaiser Permanente $2.5 Million Over Missing Medicaid Data

California officials have fined health care giant Kaiser Permanente $2.5 million for failing to turn over required data on patient care to the state’s Medicaid program. The California Department of Health Care Services said this was the first fine imposed against one of its Medicaid managed care plans since at least 2000. The state relies on the data to help set rates, ensure adequate care is available and monitor how taxpayer dollars are being spent in the program, known as Medi-Cal in California.

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21 Medicare Health Plans Warned To Fix Provider Directory Errors

Federal officials this month warned 21 Medicare Advantage insurers with high rates of errors in their online network directories that they could face heavy fines or have to stop enrolling people if the problems are not fixed by Feb. 6.

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2 More Providers Agree to Participate on Nevada’s Health Insurance Exchange

Subsidiaries of two major health insurers — Aetna Inc. and Centene Corp. — have agreed to join Nevada’s Affordable Care Act-created health insurance exchange, even as Congress takes steps that could lead to its demise. Aetna Better Health of Nevada and Silver Summit Health Plan, two of the four providers selected by the state to offer managed care services to Nevadans enrolled in Medicaid, consented in contracts to offer plans on the exchange, Tammy Ritter of the Nevada Department of Health and Human Services said Thursday. The timeline for doing so isn’t yet clear, she said.

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Health Law Repeal Could Cost 18 Million Their Insurance, Study Finds

Eighteen million people could lose their insurance within a year and individual insurance premiums would shoot upward if Congress repealed major provisions of the Affordable Care Act while leaving other parts in place, the nonpartisan Congressional Budget Office said on Tuesday. A report by the office sharply increases pressure on Republicans to come up with a comprehensive plan to replace the health care law. It is likely to doom the idea of voting to dismantle the 2010 health law almost immediately, with an effective date set sometime in the future while Congress works toward a replacement.

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Gov. Brown’s Budget Shows Support for Medi-Cal

Gov. Jerry Brown's proposed budget shows continued support for California's Medicaid program as talks of a repeal of the Affordable Care Act gain momentum.

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Medicare Failed To Recover Up To $125 Million In Overpayments, Records Show

Six years ago, federal health officials were confident they could save taxpayers hundreds of millions of dollars annually by auditing private Medicare Advantage insurance plans that allegedly overcharged the government for medical services.

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