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.

GAO: More Oversight Needed Over Medicare Advantage Provider Networks

The federal government needs to increase its oversight over private Medicare health plans to make sure seniors have adequate access to doctors and hospitals, according to a report released this week by congressional auditors.

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Insurers Find Out-Of-Network Bills As Much As 1,400 Percent Higher

It’s common knowledge that consumers have to pay more money if they choose doctors or hospitals outside of their insurance plan’s network.

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Congress and Obama Administration Seek Ways to Limit Increase in Medicare Premiums

Congress and the Obama administration are frantically seeking ways to hold down Medicare premiums that could rise by roughly 50 percent for some beneficiaries next year, according to lawmakers and Medicare officials.

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GAO: More Oversight Needed Over Medicare Advantage Provider Networks

The federal government needs to increase its oversight over private Medicare health plans to make sure seniors have adequate access to doctors and hospitals, according to a report released this week by congressional auditors. The General Accountability Office study found the Centers for Medicare & Medicaid Services, which administers Medicare Advantage plans, primarily relies on ...

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Medicare Advantage Enrollment Up by 7.3%, Expected To Grow More

Enrollment in Medicare Advantage plans is up by 7.3% from this time last year, and more beneficiaries are expected to sign up when the program’s annual open enrollment period begins next month,Modern Healthcare reports. CMS data show that about 17.7 million people are enrolled in an MA plan, up from nearly 16.5 million individuals at ...

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CMS Says 2016 Average MA Premiums To Drop by 31 Cents

On Monday, CMS announced that the average monthly premium for Medicare Advantage plans in 2016 will drop by about 31 cents,Modern Healthcare reports (Herman, Modern Healthcare, 9/21). According to CMS, average MA premiums will likely decrease from an average of $32.91 this year to $32.60 next year (Young, CQ HealthBeat, 9/21). MA premiums are expected ...

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Medicare Advantage Membership Nears 18 Million Ahead of Annual Enrollment

Roughly 17.7 million seniors and disabled Americans are enrolled in Medicare Advantage, and many more are expected to sign up for the private Medicare health plans when the annual enrollment period begins next month. The total Advantage population as of September 2015 is up 7.3% from the almost 16.5 million people who had Advantage coverage ...

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California Voters Sharply Disagree on Low-Cost Healthcare for Immigrants

California has adopted a series of laws in recent years to help people in the country illegally, and polls show broad support for a pathway to citizenship for the estimated 2 million such immigrants living in the state. But it’s a different story when it comes to providing them healthcare benefits. California voters are sharply ...

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Consumers With COBRA Coverage Should Weigh Moving To Health Law Plans

As the open enrollment season for employer-sponsored health insurance gets underway this fall, experts say there’s one group that should definitely consider changing plans: people who have coverage through their former employer under the federal law known as COBRA. COBRA allows people who leave their jobs to keep their job-based group coverage for 18 months, ...

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New Medicare Advantage Pilot To Test Value-Based Insurance Design

On Tuesday, the Center for Medicare and Medicaid Innovation at CMS announced a new pilot program that will allow Medicare Advantage insurers to lower beneficiaries’ out-of-pocket costs as a way to encourage them to use high-quality services and potentially reduce overall costs in the long term, Modern Healthcare reports. The five-year program begins Jan. 1, ...

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