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.
Nearly 300,000 people have been disenrolled from Nevada Medicaid following the end of a pandemic-era policy that kept people continuously enrolled, state lawmakers learned Thursday, and an additional 45,000 may lose coverage next month. Those numbers are “more than we ever anticipated,” Nevada Medicaid Administrator Stacie Weeks told legislators on the Interim Finance Committee, and ...
Taxpayers are expected to save billions after the Biden administration inked deals with pharmaceutical companies to knock down the lists prices for 10 of Medicare’s costliest drugs. But how much older Americans can expect to save when they fill a prescription at their local pharmacy remains unclear, since the list cost isn’t the final price people ...
Altogether, more than 50 percent of eligible Medicare recipients are on the private plans, but a new report from health policy research firm KFF found drastic differences between Medicare Advantage enrollment in California regions.
Medicare Advantage enrollment has been on a steady climb for the past two decades following changes in policy designed to encourage a robust role for private plan options in Medicare.
When Californians phone for help with their Medicaid coverage, they routinely face waits of nearly an hour — and are regularly disconnected without reaching anyone, researchers found in a newly released analysis. An audit released Wednesday by the Children’s Partnership, an advocacy group focused on child health, found the average wait when researchers phoned in ...
On May 13, Sen. Bernie Sanders (I-Vt.) published an open letter to Novo Nordisk on the front page of a leading Danish newspaper, urging the hometown company to live up to its altruistic standards by lowering U.S. prices for its blockbuster diabetes and weight loss drugs. What Sanders didn’t realize was that Denmark, a country ...
The Centers for Medicare & Medicaid Services (CMS) is creating a voluntary demonstration program to support changes to Medicare Part D under the Inflation Reduction Act (IRA). The agency also finalized bid information for contract year 2025, with a base beneficiary premium increase of $2.08 for people with Part D. The IRA is designed to ...
Why OIG Did This Audit California pays managed care organizations to make services available to eligible Medicaid enrollees in return for a monthly fixed payment (capitation payment) for each enrollee. Previous OIG audits found that State Medicaid agencies made capitation payments on behalf of enrollees who were residing and enrolled in Medicaid in another State. ...
The government subsidy to Part D plans is shifting from being reconciled on the backend to a larger risk-adjusted payment upfront.
The Centers for Medicare & Medicaid Services (CMS) is creating a voluntary demonstration program to support changes to Medicare Part D under the Inflation Reduction Act (IRA). The agency also finalized bid information for contract year 2025, with a base beneficiary premium increase of $2.08 for people with Part D. The IRA is designed to ...