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.
Twenty-five Democratic-led states plus the District of Columbia have sued the Trump administration over its new work requirements for people who get their health insurance through Medicaid. At issue is a “medically frail” designation that the states say is too narrow and will make it too difficult for ill and disabled people to remain on Medicaid. They’re challenging ...
Jude Pare and his partner, Diane Tix, live in rural Minnesota until temperatures dip below freezing, when they take refuge in Arizona for the winter. While away, their mail is forwarded. But Pare, 77, said he didn’t receive any warning from his Medicare prescription drug plan that his $0 monthly premium was about to increase. ...
The Trump administration has officially launched its new “bridge” model that brings GLP-1 coverage for weight loss to Medicare beneficiaries. Eligible people enrolled in Medicare Part D can secure certain GLP-1 medications for weight loss or management at $50 each month. The program will remain in place through the end of 2027, the Centers for ...
The Department of Justice unveiled charges against 455 people, including 90 doctors and other licensed medical professionals, for their alleged participation in healthcare schemes that involved more than $6.5 billion in false claims and other patient harm. The charges were part of a two-week coordinated fraud takedown headed by the DOJ Criminal Division’s Health Care ...
Hospice administrators, clinicians and healthcare advocates gathered Wednesday to discuss a growing problem inside an industry meant to provide comfort at the end of life — and what providers say must change to protect patients. The meeting comes as Nevada and federal officials intensify efforts to crack down on suspected fraud within the hospice industry. ...
Officials in the administration of President Donald Trump want to change one of the foundations of the Affordable Care Act health insurance regulation framework. The Centers for Medicare & Medicaid Services is thinking about limiting a state’s ability to adjust its ACA essential health benefits package, or standard benefits package, to suit local needs. CMS ...
Bill Curry, 65, raises cattle on the same land in rural Oklahoma once owned by his father and generations before him. Each quarter, for several years, he has made the 2½-hour drive to Oklahoma City for an epidural in his spine to treat his back pain. But this year, because of a new Medicare program, ...
For much of this year, progressive lawmakers, labor unions and advocacy groups have pushed Gov. Gavin Newsom and the California Legislature to shore up the state’s healthcare system against federal cuts by taxing corporations more. After all, proponents argued, Republicans in Washington, D.C. cut into healthcare programs for California’s most vulnerable residents to pay for ...
The Nevada Health Authority announced Friday a temporary pause on new state licenses for hospice and home-health providers and a moratorium on new enrollments for Nevada Medicaid until state officials validate and confirm the legitimacy of current providers. Upon federal approval, this moratorium will be in effect for at least six months. Fraud in hospice and home-health services has garnered recent national ...
The state constitution requires a new budget to be adopted by June 15, leaving little time for Newsom and legislative leaders to resolve many billions of dollars in differences, particularly those involving health and social welfare services.