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.

As Democrats Bicker Over Massive Spending Plan, Here’s What’s at Stake for Medicaid

Hours after the Supreme Court in 2012 narrowly upheld the Affordable Care Act but rejected making Medicaid expansion mandatory for states, Obama administration officials laughed when asked whether that would pose a problem. In a White House briefing, top advisers to President Barack Obama told reporters states would be foolish to turn away billions in ...

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Democrats Grapple With Cuts To Health Care Priorities

Top House Democrats are voicing a new willingness to pare down their ambitious health care proposals within the sweeping $3.5 trillion social spending bill as they scramble to build consensus ahead of a potential vote this week.

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Dentists’ Organization Fights Plan To Cover Dental Benefits Under Medicare Expansion

The American Dental Association is mobilizing its 162,000 members to fight a proposal to include dental coverage for all Medicare recipients, opposition that could prove pivotal as Democrats look to make cuts in their $3.5 trillion domestic policy agenda. Giving dental, vision and hearing benefits to the 60 million older and disabled Americans covered by Medicare will provide ...

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KFF: Analysis Finds Out-Of-Pocket Spending On Dental, Hearing In Medicare Far Outweighs Vision Benefits

Out-of-pocket spending for hearing and dental care far outpaced spending for vision care among Medicare beneficiaries, a new analysis found. The analysis, released Tuesday by the Kaiser Family Foundation, examines out-of-pocket spending in 2018 and 2019 on traditional Medicare and Medicare Advantage on the three benefits. It comes as Congress is contemplating adding the three benefits ...

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15 Million People Could Lose Coverage After Public Health Emergency Ends, Report Says

A new report by the Urban Institute, funded by Robert Wood Johnson Foundation, anticipates that 15 million people could be out of Medicaid coverage when the pandemic public health emergency ends. Medicaid enrollment initially swelled as a result of early pandemic joblessness and continuous coverage requirement of the Families First Coronavirus Response Act, according to ...

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California’s Reboot of Troubled Medi-Cal Puts Pressure on Health Plans

When Denise Williams’ baby boy was 2 months old, she became alarmed by a rattling sound in his lungs and took him to the emergency room. While undergoing treatment, he spiraled into a disabling neurological disorder. Now 2 years old, Markeano is attached to breathing and feeding tubes. He can’t walk or move his arms. ...

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Health Provisions in House’s $3.5 Trillion Domestic Policy Proposal

House Democrats are devising a $3.5 trillion domestic policy package that includes billions of dollars in hospital infrastructure, health manpower, nursing shortages and increased insurance coverage. The House Energy and Commerce Committees, and Method and Means Committees that share jurisdiction over health spending and programs, passed their bill provisions this week in line with party ...

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Census: Insured Population Holds Steady, With a Slight Shift From Private to Public Coverage

Despite a pandemic-fueled recession, the number of uninsured Americans has increased only slightly since 2018, according to Census Bureau health insurance data released Tuesday. Twenty-eight million people, or 8.6% of Americans, were uninsured for all of 2020. In 2019, 8% of people were uninsured during the full year; in 2018, it was 8.5%. During a press conference, ...

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CMS Suspends Part D Enrollment In 2022 For UnitedHealth, Anthem MA Plans

The Biden administration has suspended Medicare Advantage Part D new customer enrollment for three United Healthcare Group plans and one Anthem plan for failing to meet medical loss ratio requirements. The Centers for Medicare & Medicaid Services (CMS) announced the suspensions in a series of enforcement notices Sept. 2. The plans are prohibited from signing ...

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Biden Worker Vaccine Mandate Gets Mixed Reviews From Las Vegas Labor, Business Groups

A major Las Vegas labor union commended President Joe Biden’s new order for employee COVID vaccinations, while a business advocacy group questioned the mandate.

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