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.
While its merger with Humana may have fallen through for now, Cigna is attracting plenty of interest for the rumored sale of its Medicare Advantage business, Bloomberg reported. Sources close to the matter told the outlet that Health Care Service Corp. and Elevance Health are “competing” to scoop up the MA segment. Cigna is expecting ...
Milagro, a Peruvian immigrant in Riverside County, California, has had spotty access to health care in the two decades she’s been in this country. The 48-year-old, who works as the office manager at a nonprofit, can get emergency care through a narrow set of benefits the state makes available to immigrants without legal residency. And ...
A House vote on transparency regulations in healthcare could occur next week, potentially having substantial ramifications on how PBMs and hospitals operate.
The House Energy and Commerce Committee advanced 19 pieces of legislation Dec. 7, including bills aimed at increasing Medicare Advantage transparency. Three Medicare-related bills to note
A bipartisan group of representatives has introduced a bill into the House that would undo a 2024 physician pay cut finalized last month by the Biden administration. The 2024 Medicare Physician Fee Schedule final rule included a decrease in the conversion factor, which is used to calculate Medicare payments to doctors, that translated to a 3.37% pay decrease ...
Nearly two years into Gov. Gavin Newsom’s $12 billion experiment to transform California’s Medicaid program into a social services provider for the state’s most vulnerable residents, the institutions tasked with providing the new services aren’t effectively doing so, according to a survey released Tuesday. As part of the ambitious five-year initiative, called CalAIM, the state is supposed to offer ...
The enrollment period for Medicare ends on Dec. 7 — and many people across the nation are deciding about supplementing Medicare with Medicare Advantage plans. Medicare Advantage plans, which are plans offered through private insurer companies that the federal government contracts with, are advertised as a solution to original Medicare’s limited scope in coverage, but have ...
The proposed rule will also purportedly improve access to behavioral healthcare and make prior authorization more transparent.
President Barack Obama famously told Americans they could keep their doctors. At the rate things are going, it won’t be long before many Americans don’t have one in the first place — at least not the way they’re used to. The math is simple: Medical schools just aren’t churning out doctors fast enough to keep ...
A new law is poised to cap seniors’ prescription drug costs covered under Medicare, starting in 2025. But retirees may be in for a shock next year — significantly higher Medicare Part D premiums for prescription drug coverage. The cost of the average premiums will rise between 42% and 57% in 2024 compared to 2023 in five states with the ...