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.
The past several years have seen headline after headline about investors buying up Medicare Advantage-focused providers for huge sums of money and throwing cash behind startup insurers that promise to disrupt the $350 billion market. Meanwhile, there’s been an eye-popping number of new ventures seeking to capture a corner of the growing patient population. This ...
A total of 55 new laws will take effect Jan. 1, including the next step in Nevada’s attempt to create a Medicaid-like public health insurance option for all residents.
Insurers gave out approximately $2 billion in rebates for 2020 to nearly 10 million consumers under the Affordable Care Act’s (ACA’s) medical loss ratio provision. The Centers for Medicare & Medicaid Services (CMS) released Friday a list of insurers that sent out payments for the past year. The ACA requires insurers to spend a certain ...
Biogen Inc (BIIB.O) on Monday cut the price of its Alzheimer’s drug by about half to $28,200 for an average weight person after facing slower-than-expected U.S. sales on complaints from hospitals that its high cost was not worth its benefits. The U.S. Food and Drug Administration (FDA) approved the drug, Aduhelm, in June to treat the brain-wasting ...
The head of a Senate panel that oversees Medicare says the Biden administration should use its legal authority to cut back a hefty premium increase soon hitting millions of enrollees, as a growing number of Democratic lawmakers call for action amid worries over rising inflation.
The Senate passed legislation late Thursday that delays nearly 10% in Medicare cuts set to take effect next year, giving providers a major boost. The Senate passed the bill by 59 to 35 on Thursday, sending the legislation to President Biden after a successful House vote earlier this week. The bill included a provision to ...
For years, drugmakers have targeted “weaknesses” in the U.S. healthcare system to reap dividends on older meds, The House Oversight Committee said Friday. The “outrageous prices” and “anticompetitive conduct” that dictate the market make a strong case for the passing of President Joe Biden’s Build Back Better Act, which would allow Medicare to petition for ...
Lobbyists for drugmakers, pharmacists and large employers are blanketing Congress with calls, emails and advertisements, pressing lawmakers to rein in pharmaceutical middlemen, who they say are behind soaring drug costs.
Dive Brief: * New government data puts in stark relief how dramatically telehealth use exploded last year, with the share of Medicare visits conducted virtually skyrocketing from just 840,000 in 2019 to 52.7 million in 2020. * That’s a nearly 63-fold increase. Specialists like behavioral health providers saw the highest telehealth use relative to their ...
The California Medical Association (CMA) and the California Hospital Association (CHA) today sent a joint letter to the California Congressional Delegation, urging immediate action to eliminate or delay the Medicare payment cuts that are scheduled to go into effect on January 1, 2022. “California’s hospitals and physicians continue to provide critical health services to their patients and ...