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.

Diabetes Patients Lament Drugmaker’s Decision To Discontinue Levemir Insulin

After she was diagnosed at age 48 with Type 1 diabetes, Stacey Silverman muddled through her days with high blood sugar, fatigue and splitting headaches. Taking a long-acting form of insulin called Levemir, one of many types of the hormone on the market, resolved those blood sugar swings. Now the 55-year-old Dallas-area resident worries her ...

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Biden Administration Finalizes Medicare Prior Authorization Changes

Rule would require Medicare Advantage organizations, Medicaid and other government-sponsored health programs to include specific reasons for denying requests

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The High Cost Of Weight-Loss Drugs Is Threatening Coverage Altogether

With the price of GLP-1s reaching well over $1000 a month, local officials are warning that rising costs threaten to quickly drain government spending accounts.

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New Senate Bill Would Bolster Move To Value-Based Care In Medicare

The Value in Health Care Act would provide a 2-year extension of the 5% advanced payment model incentives, which allow clinicians to cover some of the costs of moving to a new payment model, including expanding care teams.

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Medicare Is Overpaying For Certain Common, Over-The-Counter Drugs: Study

Medicare Part D will cover certain over-the-counter products when prescribed by a clinician, and when it does, the program pays far more for these drugs, according to a recent study. Researchers at Johns Hopkins identified 22 drugs that are available both over-the-counter and via prescription; in 2020, Medicare paid out claims for 20 of those therapies. ...

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Newsom Extends Free Healthcare To 700,000 Illegal Immigrants Despite Record Budget Deficit

California became the first state on Monday to offer comprehensive health insurance to all undocumented immigrants, a plan expected to expand to roughly 700,000 residents living in the Golden State.

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CA Health Care Patients Punished by Paperwork

Six months after the state restarted its health insurance eligibility process, more than 835,000 people who had their Medi-Cal terminated between June and October lost that coverage because of incomplete or missing paperwork.

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HCSC, Elevance Health Explore Purchase Of Cigna’s Medicare Advantage Business

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 ...

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In New Year, All Immigrants in California May Qualify for Medicaid Regardless of Legal Status

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 ...

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Here’s What You Need To Know About The Lower Costs, More Transparency Act

A House vote on transparency regulations in healthcare could occur next week, potentially having substantial ramifications on how PBMs and hospitals operate.

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