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.

Spending Bill Extends Telehealth Coverage For HDHPs Through 2024

Now, it’s been extended a second time, with the most recent government spending bill reinstating the provision through at least December 31, 2024, according to the Society of Human Resource Management.

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Employer-Sponsored Coverage Flatlined Even As Unemployment Rate Shrunk: Study

While unemployment rates have declined since the early days of the pandemic, enrollment in employer-sponsored coverage has remained largely stagnant, a new study shows.

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Key Trends For Payers And Providers In 2023

Providers will be forced to navigate a challenging year as they try to rein in expense growth fueled by pandemic-driven labor shortages. This year’s outlook for a large chunk of the healthcare sector remains negative as inflation and pricier labor create difficult operating conditions for nonprofit providers, Moody’s Investor Service said. As a result, health systems ...

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Becerra Renews COVID-19 Public Health Emergency Another 90 Days, Possibly For Last Time

Department of Health and Human Services (HHS) Secretary Xavier Becerra renewed Wednesday the COVID-19 public health emergency (PHE) for another 90 days, extending with it key waivers and regulatory flexibilities. The PHE—which has been in place since Jan. 31, 2020—will now run for another 90 days. Becerra has agreed, though, to give stakeholders a 60-day ...

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Healthcare Priorities For The Next Congress

What kind of healthcare reforms can we expect from the 118th Congress? The outlook is a bit cloudy.

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California Awards Managed Care Contracts To Molina, Elevance Health And Others For 2024

California has awarded managed care plan contracts to five insurers to serve Medicaid beneficiaries across 21 counties in the state in 2024.

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OIG: CMS Needs To Help Drugmakers In Calculating Best Medicare Part B Prices

Drugmakers need more guidance from the Centers for Medicare & Medicaid Services (CMS) on how to calculate the best price for drugs sold on Medicare Part B, a key federal watchdog said.

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Biden Signs $1.7T Omnibus, Paving Way For Multiple Health Policy Priorities

Just ahead of the year-end deadline, President Joe Biden signed into law a massive $1.7 trillion spending package that includes a slew of healthcare policy priorities. Biden signed the bill late on Dec. 29 after it was flown to him while vacationing during the holidays in the U.S. Virgin Islands, the White House said. In ...

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Congress Reaches Major Health Policy Deal On Medicare, Medicaid, And Pandemic Preparedness

Leaders in Congress have reached a sweeping deal to ease Medicare pay cuts to doctors, make major changes to post-pandemic Medicaid policy, and to help prepare for future pandemics.

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CMS Proposes Cap On Nonstandard ACA Plans, Network Adequacy Standard Changes For 2024

The Biden administration wants to limit to two the number of nonstandardized Affordable Care Act (ACA) exchange plans an insurer can offer on HealthCare.gov in 2024 as part of an effort to make it easier for consumers to pick a plan. The Centers for Medicare & Medicaid Services (CMS) released Monday the proposed Notice of ...

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