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.

California’s Reboot of Troubled Medi-Cal Puts Pressure on Health Plans

When Denise Williams’ baby boy was 2 months old, she became alarmed by a rattling sound in his lungs and took him to the emergency room. While undergoing treatment, he spiraled into a disabling neurological disorder. Now 2 years old, Markeano is attached to breathing and feeding tubes. He can’t walk or move his arms. ...

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Health Provisions in House’s $3.5 Trillion Domestic Policy Proposal

House Democrats are devising a $3.5 trillion domestic policy package that includes billions of dollars in hospital infrastructure, health manpower, nursing shortages and increased insurance coverage. The House Energy and Commerce Committees, and Method and Means Committees that share jurisdiction over health spending and programs, passed their bill provisions this week in line with party ...

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Census: Insured Population Holds Steady, With a Slight Shift From Private to Public Coverage

Despite a pandemic-fueled recession, the number of uninsured Americans has increased only slightly since 2018, according to Census Bureau health insurance data released Tuesday. Twenty-eight million people, or 8.6% of Americans, were uninsured for all of 2020. In 2019, 8% of people were uninsured during the full year; in 2018, it was 8.5%. During a press conference, ...

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CMS Suspends Part D Enrollment In 2022 For UnitedHealth, Anthem MA Plans

The Biden administration has suspended Medicare Advantage Part D new customer enrollment for three United Healthcare Group plans and one Anthem plan for failing to meet medical loss ratio requirements. The Centers for Medicare & Medicaid Services (CMS) announced the suspensions in a series of enforcement notices Sept. 2. The plans are prohibited from signing ...

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Biden Worker Vaccine Mandate Gets Mixed Reviews From Las Vegas Labor, Business Groups

A major Las Vegas labor union commended President Joe Biden’s new order for employee COVID vaccinations, while a business advocacy group questioned the mandate.

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Molina Healthcare Awarded Nevada Medicaid Contract

Molina announced Aug. 17 that its Nevada health plan subsidiary was awarded a Medicaid managed care contract from the Nevada Department of Health and Human Services. The new four-year Medicaid contract, with a potential two-year extension, will start Jan. 1.

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HHS: ACA Exchange Enrollment Reaches 12.2M Thanks To Enhanced Subsidies

The COVID-19 special enrollment period increased enrollment in the Affordable Care Act’s federal and state-run insurance exchanges to 12.2 million people, as signups were buoyed by boosted tax credits, new federal data shows. The Department of Health and Human Services released a report on Wednesday reporting that more than 2.8 million people signed up for ...

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Health Care Unions Defending Newsom From Recall Will Want Single-Payer Payback

Should Gavin Newsom survive the Republican-driven attempt to oust him from office, the Democratic governor will face the prospect of paying back supporters who coalesced behind him.

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Important Employer Compliance Requirement Due By 10/15

Employers (of any size) providing prescription drug coverage benefits must distribute an annual notice to all Medicare-eligible individuals by October 15th – including both employees and dependents.

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Biden Announces Sweeping New Vaccine Requirements For Workers

President Joe Biden is requiring most federal workers to get COVID-19 shots, without an option to instead get tested weekly, and will propose that workers at large companies get vaccinated or undergo testing. The president’s plan will also double fines for people not in compliance with federal masking requirements, such as on airplanes. Enforcement of ...

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