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.
Federal officials this month warned 21 Medicare Advantage insurers with high rates of errors in their online network directories that they could face heavy fines or have to stop enrolling people if the problems are not fixed by Feb. 6.
Subsidiaries of two major health insurers — Aetna Inc. and Centene Corp. — have agreed to join Nevada’s Affordable Care Act-created health insurance exchange, even as Congress takes steps that could lead to its demise. Aetna Better Health of Nevada and Silver Summit Health Plan, two of the four providers selected by the state to offer managed care services to Nevadans enrolled in Medicaid, consented in contracts to offer plans on the exchange, Tammy Ritter of the Nevada Department of Health and Human Services said Thursday. The timeline for doing so isn’t yet clear, she said.
Eighteen million people could lose their insurance within a year and individual insurance premiums would shoot upward if Congress repealed major provisions of the Affordable Care Act while leaving other parts in place, the nonpartisan Congressional Budget Office said on Tuesday. A report by the office sharply increases pressure on Republicans to come up with a comprehensive plan to replace the health care law. It is likely to doom the idea of voting to dismantle the 2010 health law almost immediately, with an effective date set sometime in the future while Congress works toward a replacement.
Gov. Jerry Brown's proposed budget shows continued support for California's Medicaid program as talks of a repeal of the Affordable Care Act gain momentum.
Six years ago, federal health officials were confident they could save taxpayers hundreds of millions of dollars annually by auditing private Medicare Advantage insurance plans that allegedly overcharged the government for medical services.
Congress opened for battle over the Affordable Care Act on Wednesday as Republicans pushed immediately forward to repeal the health care law and President Obama made a rare trip to Capitol Hill to defend it.
Vice President-elect Mike Pence and the top Republicans in Congress made clear on Wednesday, more powerfully and explicitly than ever, that they are dead serious about repealing the Affordable Care Act.
Consumers who wish to have coverage effective January 1, 2017, must enroll in a 2017 health insurance policy by December 15, 2016.
While every new year brings change, with Donald Trump elected to become the next president and the U.S. House and Senate both having Republican majorities, managed healthcare executives will see more changes than usual in 2017—beginning with repealing and replacing most of the provisions in the Affordable Care Act (ACA).
2017 had been shaping up as a year focused on fixing the Affordable Care Act's insurance markets, slowing prescription drug price hikes, expanding Medicaid, improving mental health care and spreading value-based payment and delivery.