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.

More Than 220K People Kicked Off Medi-Cal In Its First Checkup Since COVID

About 225,0000 Californians lost their free or low-cost health coverage as of July 1, in the first round of a Medi-Cal renewal process that had been suspended since early in the COVID-19 pandemic. That’s approximately 21% of the over 1 million people who were due to reapply for coverage in June, according to preliminary numbers ...

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Medicare Advantage Could Get Up To $1.6 Trillion More Than It’s Entitled To Over The Next Decade, And That Could...

Medicare Advantage plans could end up getting too much money from the government — by as much as $1.6 trillion — over the next decade, putting pressure on the trust fund that supports Medicare. This forecast comes from the Committee for a Responsible Federal Budget, which looked at the intricacies of insurance coding, as well ...

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J&J Joins Legal Fight Against Medicare Drug Price Negotiation

U.S. pharmaceutical company Johnson & Johnson (J&J) announced Tuesday it is suing the Department of Health and Human Services (HHS) over Medicare Drug Price Negotiation Program, becoming the latest of several organizations challenging the provision established by the Inflation Reduction Act. J&J joins fellow pharmaceutical companies Merck & Co., Bristol Myers Squibb as well as ...

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Hospitals Ask Congress to Delay ACA Medicaid Funding Cuts — For the 14th Time

It has become as familiar a sight in Washington as the cherry blossoms in spring: lobbyists from the nation’s hospitals descending on the Capitol to ask lawmakers to postpone billions in Medicaid funding cuts prescribed by the Affordable Care Act — cuts industry leaders agreed to years ago.

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Billions In New Medi-Cal Funding For Physician Reimbursements Could Increase Access To Care

A budget deal between the governor and the state legislature will expand Medi-Cal reimbursement rates starting next year. Medi-Cal is the state’s health care program covering low-income Californians. Just over a million San Diego County residents rely on Medi-Cal for health care. Advocates hope the move will give recipients more options and better access to ...

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California Strikes Huge Deal Unlocking Billions For Health Care

Major players in California’s health care field have reached a deal on how they want the state to spend $19 billion in proceeds of a renewed tax on insurance plans plus the federal funds that go with it — a development that followed months of private negotiations between bitter industry rivals, state lawmakers and the governor’s office.

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Medicaid Disenrollment Is Happening Faster Than Anyone Thought, Says Former Medicaid Deputy Director

The loss of coverage for Medicaid recipients is happening faster than anyone believed it would, according to Karen Shields, chief client engagement officer at Gainwell Technologies, a large payer of Medicaid claims. “It’s faster than we thought,” said Shields, a former deputy director for the Center for Medicaid and CHIP Services. “The call for action indicates everything ...

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Satisfaction With Healthcare Coverage Spread Unevenly Across Payer Types: KFF Survey

Most people with either public or private healthcare insurance like their coverage—but they like it a lot less when they’re sick, according to a new KFF survey.

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Medicare Surge To Drive Health Care Spending Past $7 Trillion

A surge of Medicare spending on hospitals and other services later this decade will help U.S. health care expenditures outpace inflation and top $7.2 trillion by 2031, federal actuaries said on Wednesday. Why it matters: The new projections show medical spending across all categories rebounding from the pandemic doldrums, with hospitals being the biggest cost-driver. That likely will ...

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Take An X To The Public Health Insurance Option

There’s an old proverb—everything old is new again. That is certainly true for healthcare policy. Last month, Sen. Bernie Sanders, I-Vt., introduced the Medicare for All Act of 2023, the single-payer health plan the Vermont socialist has been pushing for years. President Biden will surely dust off his old proposal for a public option whenever he launches ...

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