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.

Controversial Rating System Gives Six Nevada Hospitals One Star

Five Southern Nevada hospitals were among six statewide that received only one star in a controversial five-star rating system unveiled Wednesday by the Centers for Medicare & Medicaid Services.

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Many Well-Known Hospitals Fall Short of 5 Stars In Medicare’s New Ratings

The federal government released its first overall hospital quality rating on Wednesday, slapping average scores on some of California’s best-known medical centers while awarding top scores to unheralded ones.

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Your ZIP Code And Your Health Plan Determine Your Care, New Data Show

It is no secret that the cost and quality of health care can vary greatly within a state as large as California. But by how much?

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Long-Term Care Is An Immediate Problem – For The Government

Donna Nickerson spent her last working years as the activity and social services director at a Turlock, Calif., nursing home.

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Senior Surprise: Getting Switched With Little Warning Into Medicare Advantage

Only days after Judy Hanttula came home from the hospital after surgery last November, her doctor’s office called with bad news: Records showed that instead of traditional Medicare, she had a private Medicare Advantage plan, and her doctor and hospital were not in its network.

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Two Insurance Giants Planning To Jump Into California’s Medicaid Market

Two of the nation’s largest insurers are reaching out to doctors as they prepare to offer health coverage to low-income residents in California’s Medicaid program.

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Aetna and Anthem Respond to DOJ Suit

In retrospect, it seems odd that so many business analysts expected the U.S. Department of Justice to approve the proposed mergers of four enormous health insurers.

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Justice Dept. Will Seek to Block 2 Health Insurance Mergers

The Justice Department is preparing lawsuits to block two giant health insurance deals, according to a person briefed on the matter, continuing a spate of antitrust actions in a whirlwind year for mergers and acquisitions.

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UnitedHealth’s Profit Surges, Yet Affordable Care Act Drags

UnitedHealth's second-quarter earnings jumped 11 percent to trump expectations even though the nation's largest health insurer took a bigger hit than expected from coverage linked to the Affordable Care Act.

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National Health Spending to Surpass $10,000 a Person in 2016

National health spending will average more than $10,000 a person this year for the first time, the Obama administration said Wednesday, a milestone that heralds somewhat faster growth in health spending after several years of exceptionally low growth.

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