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.

Nevada Insurance Chief Resigns; No Reason Given

Nevada Commissioner of Insurance Scott J. Kipper announced Thursday his resignation effective July 2. “It has been an honor to have served the state of Nevada as commissioner,” Kipper said. “I am proud of the division’s accomplishments. I am certain that the Division of Insurance will continue to serve the consumers, protecting the rights of ...

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Auditor Slams California’s Oversight Of Medi-Cal Plans Used By 9 Million

California health officials failed to ensure that more than 9 million residents enrolled in Medi-Cal managed care plans had access to doctors when they needed them, the state auditor said in a stinging report Tuesday. Health officials might have learned about those problems from calls to an ombudsman’s office – but thousands went unanswered every ...

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Governor Calls for Special Legislative Session To Address Health Spending

Gov. Jerry Brown (D) last week issued a proclamation to convene a special legislative session on health care spending on the same day he agreed to a state budget that had many of its health-related provisions negotiated away. Financing the Medi-Cal program may not be sustainable, Brown said, given its expansion over the past two years ...

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California Leads U.S. in Total Number of Medicaid Beneficiaries

Medi-Cal enrollment has increased by 34% since the Affordable Care Act went into effect, leading all other Medicaid programs in the country in terms of total beneficiaries, according to data from the Kaiser Family Foundation, HealthyCal reports. Medi-Cal is California’s Medicaid program. Details of Increase in Enrollment California — one of 29 states that have ...

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Federal Investigators Fault Medicare’s Reliance on Doctors for Pay Standards

WASHINGTON — The government relies too heavily on advice from the American Medical Association in deciding how much to pay doctors under Medicare, and the decisions may be biased because the doctors have potential conflicts of interest, federal investigators say in a new report. This reliance on the association, combined with flaws in data collected by the ...

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Medicare Releases 2013 Hospital, Doctor Payment Data

On Monday, CMS publicly released new online data that reveal hospitals’ Medicare charges and payments, as well as what doctors billed, in 2013, Modern Healthcare reports (Herman, Modern Healthcare, 6/1). Background The data were unveiled at the Health Datapalooza conference in Washington, D.C. (CMS release, 6/1). It is the third straight year that Medicare has ...

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Bill with “Zero” Chance Proposes Privatizing Provision of Nevada Medical Services

The elderly, the blind and the physically disabled. Thousands of people in these groups in Clark and Washoe counties face major changes in the way assistive services are provided to them should Assembly Bill 310.

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Medicaid Expansion Helps Cut Rate of Older, Uninsured Adults From 12 to 8 Percent

The health law's expansion of Medicaid coverage to adults with incomes over the poverty line was key to reducing the uninsured rate among 50- to 64-year-olds from nearly 12 to 8 percent in 2014, according to a new analysis.

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Huge Coalition Launches $10M Media Campaign to Hike Medi-Cal Rates

A coalition of health care, business, consumer and labor groups will spend $10 million over the next eight weeks on a media campaign to convince state leaders to raise Medi-Cal rates.

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States Lose $721B If SCOTUS Rules Against Obamacare

Next month, the Supreme Court will decide whether Obamacare enrollees in states that did not set up their own exchanges will continue to have access to federal subsidies.

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