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.
House lawmakers backed by a wide array of industries think they have a solution to Medicare’s approaching insolvency: moving more care from the hospital to the home. A new bill from Reps. Adrian Smith (R-Neb.) and Debbie Dingell (D-Mich.) that aims to reduce care in hospitals and other health care facilities and increase it in living rooms marks a ...
UnitedHealth Group beat Wall Street targets for quarterly profit and raised its annual forecast on Friday, as the healthcare giant banks on membership growth in its federal government-backed health insurance plans. UnitedHealth is among the largest players in the Medicare Advantage market, where private insurers offer an alternative to the original Medicare – the federal government’s ...
More than 14 million adults across the United States who receive Medicaid are at risk of losing dental health coverage now that the Covid public health emergency is over, according to data exclusively obtained by NBC News. The public health emergency ended April 1, allowing states to review Medicaid recipients’ eligibility and disenroll them from the ...
Gary Sokolow, a director in Fitch Ratings’ public finance healthcare group, told Fierce Healthcare that nonprofit hospitals didn’t have to worry for the past three years about taking care of patients showing up in their emergency rooms because many of those patients were either Medicaid beneficiaries or could be automatically enrolled in the program while the eligibility ...
The U.S. government aims to publish the final guidance for its Medicare drug price negotiation program in early July and is currently talking to companies about its contents, a top health official said on Wednesday. The guidance will finalize the details of how President Joe Biden’s signature drug pricing reform will be carried out. The ...
The Department of Health and Human Services’ (HHS’) highly publicized list of the first Medicare Part B prescription drugs hit with rebates under the Inflation Reduction Act discreetly dropped from 27 to 20, prompting critiques from the pharma lobby over the Biden administration’s swift implementation of the legislation’s drug controls. As spotted by Endpoints, the press release and ...
While provider and payer groups were happy that the Biden administration delayed implementation of changes to Medicare Advantage’s (MA’s) risk adjustment model, they hinted at a sustained campaign to get rid of them entirely. Industry reaction to the final 2024 MA payment rule released late Friday details the next fight the Centers for Medicare & Medicaid Services ...
Since the COVID-19 pandemic began in earnest, low-income Californians who enrolled in Medi-Cal — California’s version of the government-funded Medicaid health insurance program — have been able to keep their coverage without having to prove every year that they still qualified for it. That’s because the Families First Coronavirus Response Act, which President Trump signed ...
The Biden administration finalized a proposal to raise Medicare Advantage payments by 3.32% in 2024, slightly above the 1% raise that it proposed. The final payment rule released Friday comes after an intense lobbying campaign from insurers who claimed that the original advance notice released in February would amount to a cut to plans. The ...
When President Joe Biden delivered his State of the Union address to Congress in February, he drew a clear distinction on entitlement spending – his administration had pledged to protect Social Security and Medicare, while congressional Republicans were trying to cut them.