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.

Federal Investigators Fault Medicare’s Reliance on Doctors for Pay Standards

WASHINGTON — The government relies too heavily on advice from the American Medical Association in deciding how much to pay doctors under Medicare, and the decisions may be biased because the doctors have potential conflicts of interest, federal investigators say in a new report. This reliance on the association, combined with flaws in data collected by the ...

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Medicare Releases 2013 Hospital, Doctor Payment Data

On Monday, CMS publicly released new online data that reveal hospitals’ Medicare charges and payments, as well as what doctors billed, in 2013, Modern Healthcare reports (Herman, Modern Healthcare, 6/1). Background The data were unveiled at the Health Datapalooza conference in Washington, D.C. (CMS release, 6/1). It is the third straight year that Medicare has ...

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Bill with “Zero” Chance Proposes Privatizing Provision of Nevada Medical Services

The elderly, the blind and the physically disabled. Thousands of people in these groups in Clark and Washoe counties face major changes in the way assistive services are provided to them should Assembly Bill 310.

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Medicaid Expansion Helps Cut Rate of Older, Uninsured Adults From 12 to 8 Percent

The health law's expansion of Medicaid coverage to adults with incomes over the poverty line was key to reducing the uninsured rate among 50- to 64-year-olds from nearly 12 to 8 percent in 2014, according to a new analysis.

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Huge Coalition Launches $10M Media Campaign to Hike Medi-Cal Rates

A coalition of health care, business, consumer and labor groups will spend $10 million over the next eight weeks on a media campaign to convince state leaders to raise Medi-Cal rates.

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States Lose $721B If SCOTUS Rules Against Obamacare

Next month, the Supreme Court will decide whether Obamacare enrollees in states that did not set up their own exchanges will continue to have access to federal subsidies.

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State Pressured To Explain Why it Revoked Blue Shield’s Not-for-Profit Exemption

A consumer advocacy organization has launched a campaign to get state officials to explain why they revoked Blue Shield of California's tax-exempt not-for-profit status last year.

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1 in 4 Adults Had Insurance But Still Couldn’t Afford Medical Care

More than 1 in 4 adults who bought insurance for themselves or their families last year had to skip needed medical care because they couldn't afford it, according to a study released Thursday by Families USA, a consumer health group.

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5 Percent of Medicaid Patients Account for Half of Program’s Costs

About 5 percent of Medicaid beneficiaries account for almost 50 percent of program spending, according to a new report from the nonpartisan Government Accountability Office.

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Obamacare Program Generates “Substantial” Medicare Savings

An Obamacare program designed to hold down Medicare costs and improve patient outcomes generated more than $384 million in savings in its first two years of operation, Health and Human Services Secretary Sylvia Burwell said Monday.

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