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.

Google Flexes Its Health Care AI Muscle

Google showed off an array of new artificial intelligence (AI)-driven health care tools on Tuesday, from a souped-up chatbot that can shed light on your medical symptoms to enhanced search features that tell you if a doctor takes Medicaid.

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Biden Admin Lays Out Medicare Drug Negotiation Process

The Biden administration on Wednesday began fleshing out how it will implement drug-pricing provisions in the Inflation Reduction Act, including a multi-step negotiation process for selected Medicare drugs starting next year. Why it matters: The law gave the administration discretion to work out many details of the first-ever drug price talks, which will initially cover 10 ...

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Economists Warn Of Costs If Medicare Covers New Obesity Drugs

The cost of expanding U.S. Medicare prescription drug coverage to pay for expensive, new obesity medications could be catastrophic, health economists warned in a report published on Saturday. Big-selling diabetes drugs have been repurposed as obesity treatments after demonstrating weight loss of more than 20% in clinical trials. While they are far more effective than ...

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Biden Budget Will Propose Tax Increase to Bolster Medicare

President Biden, as part of his budget set for release on Thursday, will propose raising a tax on Americans earning more than $400,000 as part of a series of efforts to extend the solvency of Medicare by a quarter-century.

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After A Pandemic Pause, The State Will Restart Checking Medi-Cal Eligibility

California will soon restart its annual eligibility review for people enrolled in Medi-Cal, a process that has been suspended since the onset of the COVID-19 pandemic. This means that starting in mid-April, residents enrolled in Medi-Cal, the state’s insurance program for low-income people, will start to receive renewal notices in the mail. The process will ...

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CMS: US Health Care Spending Reached $4.3 Trillion In 2021 During COVID

During the peak COVID timeframe in 2021, the U.S. spent nearly $4.3 trillion on health care. Government insurance programs, such as Medicare and Medicaid, made up 42% (or a whopping $1.8 trillion of national health care spending) in 2021. That’s according to the Centers for Medicare and Medicaid Services (CMS), which says private insurance programs, including employer-sponsored ...

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450K Nevada Residents Could Lose This Federal Benefit. Are You On The List?

Thousands of Nevadans could lose their no-cost Medicaid health coverage this year as pandemic emergency provisions wind down, according to state officials. Following a three-year grace period during the worst of COVID-19, Medicaid recipients will be required to reapply for benefits beginning April 1.

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Eli Lilly To Cut Insulin Prices, Cap Costs At $35 For Many People With Diabetes

Eli Lilly announced Wednesday a series of price cuts that would lower the price of the most commonly used forms of its insulin 70% and said it will automatically cap out-of-pocket insulin costs at $35 for people who have private insurance and use participating pharmacies.

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Medicare Advantage Yielded Strongest Margins For Insurers, Study Finds

Health insurers’ margins in Medicare Advantage were more than double those seen in other markets in 2021, reinforcing the way the program can produce strong financial returns for plans, a new Kaiser Family Foundation analysis shows. Why it matters: Private Medicare plans are expected to draw more than half of eligible beneficiaries this year. But government payments to ...

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Insurers, Republicans Square Off With Biden On Medicare ‘Cuts’

The insurance industry and Republicans are using the debt ceiling fight and President Biden’s vows not to cut Medicare to fend off changes to private Medicare Advantage plans, which are popular among the public but have faced criticism about their costs to the government. So far this year, the Centers for Medicare and Medicaid Services ...

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