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.
Employers offering prescription drug benefits to their employees have an important annual duty: by October 14th each year, they must notify Medicare-eligible employees and their Medicare-eligible dependents whether their plan’s drug coverage is "creditable" or "non-creditable" as compared to a standard Medicare Part D drug plan.
Average premiums and benefits for Medicare’s prescription drug program and private Medicare plans are projected to remain stable in 2025 with premiums slightly declining, the Centers for Medicare and Medicaid Services said on Friday. WHY IT’S IMPORTANT The premiums are of interest to consumers enrolled in Medicare Advantage plans run by private insurers who are ...
The “vast majority” of the nation’s 67 million seniors eligible for Medicare health insurance won’t shop around for coverage options, let alone switch plans, a new analysis shows. KFF’s new research, which comes before open enrollment begins Oct. 15 for various Medicare coverage options for 2025 including Medicare Advantage, shows that 69% of those eligible Medicare beneficiaries did ...
Employers offering prescription drug benefits to their employees have an important annual duty: by October 14th each year, they must notify Medicare-eligible employees and their Medicare-eligible dependents whether their plan’s drug coverage is "creditable" or "non-creditable".
This year marked the expiration of certain pandemic-era policies that offered a temporary boost to insurers' star ratings, according to the report. However, the study notes that despite the decrease from 2023, bonus payments in 2024 are higher than any year from 2015 to 2022.
The proportion of Americans without health insurance remained stable in 2023, the Census Bureau reported Tuesday, close to the record low the Biden administration achieved in 2022 through expansions of public programs, including the Affordable Care Act. About 8% of Americans were uninsured, a statistically insignificant increase of just 0.1 percentage point from a year earlier. ...
Medicare Advantage plans have been successful in enrolling Medicare beneficiaries and delivering to those clients. Despite this, some insurers are downsizing their share of the market and hospitals are canceling or not renewing their contracts to serve plan members – leaving enrollees in the lurch. In recent months, Humana, CVS and some smaller insurers announced ...
Beyond their calls for increased outpatient payments, hospitals are urging the Biden administration to reconsider a plan for new care requirements that they say would “inadvertently reduce access to vital obstetrical services.” In July, the Centers for Medicare and Medicaid Services (CMS) released its Calendar Year 2025 Outpatient Prospective Payment System (OPPS) and ASC Payment ...
Editor’s Note: California Medicaid (MediCal) enrollment is approximately 13 million and the Deloitte contract is over $500 million. Nevada Medicaid enrollment is approximately 845,504; the Deloitte contract amount data was unavailable. The computer systems run by the consulting giant Deloitte that millions of Americans rely on for Medicaid and other government benefits are prone to ...
Former President Donald Trump and Vice President Kamala Harris have a rare point of agreement in their otherwise bitter and divisive contest: It's up to the government to cut high U.S. drug prices.