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.

Access to Health-Care Prices Doesn’t Lower Spending

If people know how much health care services cost, they’ll shop for the best prices and spend less — or so the theory goes. That’s why the Massachusetts law intended to lower costs included a requirement that doctors, hospitals, and insurers provide cost estimates.

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IRS Correctly Calculated ObamaCare Tax Credit on 93% of Returns

The Internal Revenue Service correctly determined the allowable amount of the ObamaCare-related premium tax credit on most tax returns, a report made public Tuesday found.

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PPACA Coverage Cops Are Calling Your Group Clients

Tele-detectives are calling employers now to see whether some public health insurance exchange users lied when they swore they lacked access to a minimum level of employer-sponsored coverage.

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Medicare Pays Bonuses To 231 Hospitals With Lower Quality Because Of Cheaper Costs

The federal government paid bonuses to 231 hospitals with subpar quality because their patients tend to be less expensive for Medicare, new research shows.

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Medi-Cal Will Soon Cover Children In The U.S. Illegally. The Real Battle? Getting Adults Insured

Ever since Obamacare took effect two years ago, many California legislators have been fighting to get health insurance for those it left out — the quarter of all immigrants in the country illegally who live within the state's borders.

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Feds Propose Docking or Rewarding Medicare Doctors for Quality

Federal regulators proposed a rule Wednesday that will adjust hundreds of thousands of physicians'Medicare payments to reward or penalize them based on how healthy they keep their patients.

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Administration Says New Rules For Medicaid Plans Will Improve Service For Enrollees

The Obama administration tightened rules Monday for private insurance plans that administer most Medicaid benefits for the poor, limiting profits, easing enrollment and requiring minimum levels of participating doctors.

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The Big Way Obamacare Helps The Poor Isn’t Really About Their Health

President Obama's health-care reform law made government health insurance available to more people living in poverty or near poverty by expanding Medicaid. The hope was to improve people's physical health, but new research shows an important effect on financial health: The law has helped many poor Americans pay off the collection agent.

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Hospitals, Insurers, Seniors Demand Action to Lower Prescription-Drug Costs

A broad coalition including health-care providers, insurers and seniors will propose major changes Monday designed to rein in prescription-drug costs, including a shorter exclusivity period for biotech medications and a requirement that manufacturers disclose more information about pricing.

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Study: Medicaid Expansion Encourages More Poor Adults To Get Health Care

In states that expanded Medicaid under the Affordable Care Act, low-income adults were more likely to see a doctor, stay overnight in a hospital and receive their first diagnoses of diabetes and high cholesterol, according to a study published Monday.

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