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.

Public Divided On Trump Health Agenda, Strong Support For Price Transparency

When asked about a variety of health care proposals, including those put forth by Republican and Democratic lawmakers, about 6 in 10 said boosting price transparency rules to ensure that health care prices are available to patients should be a top priority.

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Medicare Targets 15 More Drugs For Price Negotiations — Including Ozempic

The Biden administration, in its last full weekday in office, announced the next 15 drugs up for Medicare price negotiation. Blockbuster diabetes drug Ozempic is on the list. That means the federal government and the pharmaceuticals industry are about to go head-to-head once again. The Centers for Medicare and Medicaid Services negotiated prices for a first ...

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Johnson Says No Cuts To Social Security And Medicare To Fund Trump’s Agenda

House Speaker Mike Johnson said Tuesday that cuts to Social Security and Medicare won't be part of the legislative package being worked out to fund President-elect Donald Trump's agenda.

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Amazon Is The Top Employer Of Nevada Medicaid Recipients. And It’s Not Even Close.

In the four years since Amazon became the leading employer of Nevada Medicaid recipients, the retail giant has surged from having 7,892 employees and dependents on Medicaid to 18,093. That’s a 143% increase since 2020.

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Medicare’s New Drug Price Cap Kicks In Jan. 1

A key cost-saving provision of the Inflation Reduction Act (IRA) goes into effect in the new year, limiting annual out-of-pocket spending on prescription drugs to $2,000 for Medicare beneficiaries. Starting on Jan. 1, 2025, an estimated 19 million Medicare beneficiaries will see their out-of-pocket Medicare Part D spending capped at $2,000 for the year. This ...

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Hospitals Continue To Eat More Health Insurance Spending Pie

Private employers' expenditures are growing more than 70% faster than the national total, according to new government data.

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HHS Releases Latest Round Of Prescriptions In Medicare Rebate Program Including Cancer Drugs

The Centers for Medicare and Medicaid Services announced Friday that 64 Part B drugs will have a reduced price for Medicare patients at the pharmacy counter in the first quarter of 2025. CMS said patients may save between $1 and $10,818 per day on co-insurance costs for the Part B drugs included on the list. ...

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After Reducing Deficit, Newsom Proposals Bring Extra Costs To California

Tax revenues have exceeded estimates in California, but Gov. Gavin Newsom’s spending proposals and other state costs could quickly swallow up any extra funds.

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2-Year Extension Of Telehealth, Plus Hospital-At-Home Program Boost Likely As Negotiations Crest In Congress

Lawmakers reached a deal Saturday evening to extend expiring healthcare programs, lobbyists close to the issue said. The package, floated Friday, is more robust than lobbyists expected. The extensions in the package won’t be final until the House and Senate vote on the package this week. The healthcare package includes a 2.5% payment boost for ...

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2025 Outlook: What’s Next For Medicare Advantage

Medicare Advantage has steadily grown over the past decade, and now encompasses more than half of all seniors eligible for Medicare. However, over the past year, the industry has faced significant headwinds, which as stymied some payers’ expansion plans. These challenges range from regulatory changes impacting payments to an ongoing spike in utilization that has ...

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