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.

CMS Finalizes 2024 Medicare Hospital, Doctor Payments, 340B Fix And Price Transparency Requirements

Regulators finalized a number of rules Thursday with sweeping implications for providers in the Medicare program, including rates for next year that doctors and hospitals slammed as insufficient.

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Biden Administration Proposes Capping Broker Payment In MA, Following Pressure

The CMS proposed a rule on Monday to stop brokers from steering beneficiaries to certain plans, in regulators’ latest move to curb MA marketing misconduct.

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California Healthcare Provider’s Move Shows Pitfalls Of Medicare Advantage

Many people on Medicare look the other way when the program’s annual enrollment period rolls around, preferring simply to ignore the hassle. But for thousands of seniors in San Diego, California, Medicare enrollment this year has become a confusing scramble to find new insurance – or new health providers. Scripps Health, a major Southern California ...

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Health Spending Expected To Outpace Growth In The Overall Economy

A recent report from the Centers for Medicare and Medicaid Services (CMS) shows that per capita health spending slowed in 2021. The growth rate was 2.6% down from 9.9% in 2020, after a ramp-up that year due to the COVID-19 pandemic. As utilization returns to pre-pandemic levels and price inflation in the health sector abates somewhat, per ...

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Medicare Advantage Brokers (And Deceptive Pitches) Scrutinized At Senate Hearing

At a Senate hearing on Wednesday, lawmakers called for additional oversight over private companies offering Medicare Advantage, in response to misleading and predatory advertising targeting seniors during open enrollment.

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Insured Rates Up, But Nevada Medicaid Still Struggles Decade After Expansion

Nearly a decade after Nevada implemented Medicaid expansion under the Affordable Care Act, the results are in — the state’s uninsured rate has plummeted, but challenges still plague the state’s health care ecosystem.

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Medicare May Worsen Health Care Workforce Shortage

There’s a health care crisis here in Nevada. Health care providers and treatment centers are dealing with crippling staff shortages, with Nevada ranking 45th in the nation for the number of active physicians per 100,000 residents, according to the Association of American Medical Colleges.

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Cigna Expands Medicare Advantage Presence To Nevada

Cigna has announced the expansion of its Medicare Advantage (MA) presence to Nevada. The health insurance giant said it would launch the MA plan in two Las Vegas-area counties with a $0 premium plan. Cigna already offers Medicare Supplement plans and stand-alone prescription drug plans throughout the state. The plan will initially be available to ...

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How Will Rural Americans Fare During Medicaid Unwinding?

Abby Madore covers a lot of ground each day at work. A staffer at a community health center in Carson City, Madore spends her days helping low-income residents understand their health insurance options, including Medicaid. Her phone is always ringing, she said, as she fields calls from clients who dial in from the state’s remote ...

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Annual Window To Shop For Medicare Advantage Plans Returns On Sunday

During the enrollment period, which ends Dec. 7, people will have the opportunity to choose between traditional Medicare and privately run Medicare Advantage plans in their area, as well as prescription drug plans.

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