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.
As expected, insurance-friendly groups are upset over the feds’ MA benchmark payment decision Monday. Global strategy firm Capstone said the CMS decision most negatively impacts Humana, UnitedHealth Group, Elevance Health, Cigna and certain providers like Agilon that were expecting high utilization rates last quarter to be represented in the growth rate, which decreased compared to ...
Many hospitals are adding billions of dollars in fees for routine care in outpatient centers they own, raising patient costs for colonoscopies, mammograms and heart screenings, a new investigation found.
Medicare will provide coverage for Wegovy for patients with an increased risk of heart attack, stroke or other serious cardiovascular problems, an agency spokesperson said Thursday.
Tim Ebel’s visit with an ear, nose and throat specialist at an Ohio clinic last October came to $348. At the same time, he got a second bill for $645. The hospital system that owns the Avon, Ohio, clinic had charged him separately for use of the office where he met his physician. It is ...
Former President Trump in a new interview sought to clarify comments from earlier in the week in which he said there are ways to go about “cutting” entitlement programs such as Social Security and Medicare. “I will never do anything that will jeopardize or hurt Social Security or Medicare,” Trump told Breitbart News on Wednesday. “We’ll have ...
Santa Clara County Valley Healthcare is reopening a newly revamped health care center in the historically underserved South County after the site faced closure and years of reduced capacity. Valley Healthcare Center Morgan Hill, formally known as De Paul Health Center, will begin operating on Monday and is set to expand primary care and urgent ...
Nevada Medicaid recently received federal approval to use funds to cover housing and supportive services through Medicaid’s managed care providers. The pilot program will help an estimated 20,300 Nevadans who had identified themselves as homeless when applying for Medicaid. As the state implements the program, it is also seeking approval from the federal government to cover ...
Four leading drugmakers were back in federal court on Thursday to challenge the constitutionality of the Medicare Drug Price Negotiation Program under the Inflation Reduction Act.
Federal health officials on Saturday said they would offer emergency funding to physicians, physical therapists and other professionals that provide outpatient health care, following a cyberattack that crippled the nation’s largest processor of medical claims and left many organizations in financial distress. The Centers for Medicare and Medicaid Services also announced that it would make ...
The smaller bill will likely focus extender policies as well as possible funding for community health centers and partial offsets to scheduled Medicare cuts for physicians