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.

Satisfaction With Healthcare Coverage Spread Unevenly Across Payer Types: KFF Survey

Most people with either public or private healthcare insurance like their coverage—but they like it a lot less when they’re sick, according to a new KFF survey.

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Medicare Surge To Drive Health Care Spending Past $7 Trillion

A surge of Medicare spending on hospitals and other services later this decade will help U.S. health care expenditures outpace inflation and top $7.2 trillion by 2031, federal actuaries said on Wednesday. Why it matters: The new projections show medical spending across all categories rebounding from the pandemic doldrums, with hospitals being the biggest cost-driver. That likely will ...

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Take An X To The Public Health Insurance Option

There’s an old proverb—everything old is new again. That is certainly true for healthcare policy. Last month, Sen. Bernie Sanders, I-Vt., introduced the Medicare for All Act of 2023, the single-payer health plan the Vermont socialist has been pushing for years. President Biden will surely dust off his old proposal for a public option whenever he launches ...

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HHS Unveils 2nd Wave Of Inflation-Capped Medicare Part B Prescription Drugs

The Department of Health and Human Services (HHS) has released a 43-drug list of the Medicare Part B prescription treatments that must repay the program for raising prices above the rate of inflation. The second quarterly list takes effect in July and is an expansion over the 20 price-capped drugs from April through June. According ...

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Biden Admin Implores States to Slow Medicaid Cuts After More Than 1M Enrollees Dropped

Too many Americans are losing Medicaid coverage because of red tape, and states should do more to make sure eligible people keep their health insurance, the Biden administration said Monday. More than a million Americans have lost coverage through the program for low-income and disabled Americans in the past several weeks, following the end of ...

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Nevada Medicaid To Begin ‘Unwinding’

Throughout the COVID-19 public health emergency, Nevada Medicaid has provided continuous coverage to all individuals and families enrolled in the state health insurance program. Continuous coverage enables families to stay insured without needing to verify their eligibility annually. This allowed families to continue to visit doctors and receive medications without interruptions.

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‘Tantamount To Extortion’: Merck Sues U.S. Government Over Medicare Negotiation Program

Merck on Tuesday sued to stop the federal government from implementing a new Medicare drug price negotiation program. Merck called the negotiation process that Democrats designed in a law last August “a sham,” arguing that the federal government “dictates” prices. The company argues in the lawsuit that the Inflation Reduction Act is unconstitutional for two reasons. The ...

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As Medicaid Purge Begins, ‘Staggering Numbers’ Of Americans Lose Coverage

More than 600,000 Americans have lost Medicaid coverage since pandemic protections ended on April 1. And a KFF Health News analysis of state data shows the vast majority were removed from state rolls for not completing paperwork. Under normal circumstances, states review their Medicaid enrollment lists regularly to ensure every recipient qualifies for coverage. But because ...

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U.S. To Require Patient Data For Payment Of Leqembi, Similar Alzheimer’s Drugs

The U.S. Medicare health plan said on Thursday it would limit reimbursement for Eisai Co Ltd (4523.T) and Biogen Inc’s (BIIB.O) Alzheimer’s drug Leqembi to patients whose doctors participate in a health agency database should the drug win full approval, a move advocates say will hinder its use. The decision marks the first time that Medicare has required data-collection ...

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CVS Could Lose Up To $1B Next Year From MA Star Ratings Drop

Dive Brief: CVS expects its 2024 operating income to drop by $800 million to $1 billion next year due to lost bonus payments from lower plan star ratings in the Medicare Advantage program. Just 21% of CVS’ MA members are currently in plans with a star rating of at least four, down from 87% at the ...

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