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.

Pressure Building for Congress to Fix Projected Medicare Part B Premium Spike

­ Pressure building for Congress to fix projected Medicare Part B premium spike – Modern Healthcare Modern Healthcare business news, research, data and events <iframe src=”//www.googletagmanager.com/ns.html?id=GTM-7TS2″ height=”0″ width=”0″ style=”display:none;visibility:hidden”></iframe> Advocates for Medicare enrollees and state Medicaid offices say Congress needs to intervene to prevent an expected 52% spike in Medicare Part B premiums, preferably in ...

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2 Million Uninsured Californians Are Eligible for Obamacare Benefits

In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state’s remaining uninsured are eligible for health insurance coverage under the Affordable Care Act. The estimate was part of a state-by-state analysis compiled by the Kaiser Family Foundation. Researchers found that California has ...

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Hospital Care Unaffected By Quality Payments

Medicare’s quality incentive program for hospitals, which provides bonuses and penalties based on performance, has not led to demonstrated improvements in its first three years, according to a federal report released Thursday.

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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.

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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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