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.
National health spending is expected to grow 4.9% annually over the next three years and 5.3% from 2025 to 2030, according to the latest estimates from the Centers for Medicare & Medicaid Services (CMS). This is expected to be driven in part by higher drug price growth and new pharmaceutical launches. National health spending growth is expected ...
Industry provider groups are again asking Department of Health and Human Services (HHS) Secretary Xavier Becerra to extend the government’s COVID-19 public health emergency, which is set to expire April 16. In a letter sent Monday, 10 national hospital and health system organizations acknowledged growing interest in ending the PHE due to the country’s ongoing ...
A $35-a-month cap on out-of-pocket insulin costs could benefit more than 1 in 4 Americans on the individual and small group markets and 1 in 5 in large employer-sponsored plans, a new analysis found. The analysis, published Thursday by the Kaiser Family Foundation, comes as Democrats are working to renew efforts to install a $35 ...
Dive Brief: * The long-term shift from hospital-based care toward more treatment delivered in the home and ambulatory centers picked up pace during the COVID-19 pandemic and is expected to continue to gain momentum, pressuring revenue growth and margins in the hospital sector, according to new research from Moody’s Investors Service. * Reimbursement changes, risk-sharing, investment ...
The Department of Health and Human Services (HHS) is examining risk adjustment tactics that have led to overpayments to some Medicare Advantage plans, Secretary Xavier Becerra told reporters Friday. Becerra said the agency has seen evidence of charges going beyond what would be necessary for MA plans using tactics such as up-coding. The remarks come ...
The extension would leave the flexibilities in place for 151 days after the end of the federal public health emergency, which currently expires in April but is expected to be extended into July.
Last spring, Lags Medical Centers, a sprawling chain of pain clinics serving more than 20,000 patients in California, abruptly shuttered amid a cloaked state investigation into “credible allegations of fraud.” Tens of thousands of patients were left scrambling for care, most of them low-income Californians covered by state and federal insurance programs. Many have struggled ...
This was supposed to be the year that low-income Californians could hire a doula to guide them through pregnancy and advocate for them in the hospital.
President Biden used the State of the Union not only to project optimism about the direction of the pandemic, but also to launch new efforts focused on mental health care and nursing home quality — two areas that have been shown to be deeply in need of reform over the last two years.
When Gov. Gavin Newsom took office in 2019, he promised to lower prescription drug costs for all Californians. But now, as Newsom nears the end of his first term, his ambitious ideas — such as requiring California to make its own insulin and forging drug partnerships across state lines — have failed to get off ...