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.

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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Molina Healthcare Awarded Nevada Medicaid Contract

Molina announced Aug. 17 that its Nevada health plan subsidiary was awarded a Medicaid managed care contract from the Nevada Department of Health and Human Services. The new four-year Medicaid contract, with a potential two-year extension, will start Jan. 1.

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HHS: ACA Exchange Enrollment Reaches 12.2M Thanks To Enhanced Subsidies

The COVID-19 special enrollment period increased enrollment in the Affordable Care Act’s federal and state-run insurance exchanges to 12.2 million people, as signups were buoyed by boosted tax credits, new federal data shows. The Department of Health and Human Services released a report on Wednesday reporting that more than 2.8 million people signed up for ...

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Health Care Unions Defending Newsom From Recall Will Want Single-Payer Payback

Should Gavin Newsom survive the Republican-driven attempt to oust him from office, the Democratic governor will face the prospect of paying back supporters who coalesced behind him.

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Important Employer Compliance Requirement Due By 10/15

Employers (of any size) providing prescription drug coverage benefits must distribute an annual notice to all Medicare-eligible individuals by October 15th – including both employees and dependents.

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Biden Announces Sweeping New Vaccine Requirements For Workers

President Joe Biden is requiring most federal workers to get COVID-19 shots, without an option to instead get tested weekly, and will propose that workers at large companies get vaccinated or undergo testing. The president’s plan will also double fines for people not in compliance with federal masking requirements, such as on airplanes. Enforcement of ...

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Biden Administration Unveils Plans To Lower Prescription Drug Costs

Health and Human Services Secretary Xavier Becerra on Thursday unveiled the Biden administration’s road map to lowering the cost of prescription drugs. The plan, summarized in a 29-page document, supports legislation that allows the federal government to negotiate lower prices on the costliest drugs each year and pass those savings on to private insurers. Current ...

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Medicare’s Trust Fund Faces Insolvency In 2026. Here’s How That Squares With Democrats’ Efforts To Expand The Health Insurance Program

It’s a situation that appears incongruous: Congressional Democrats want to expand Medicare’s benefits while a trust fund that supports the program is facing insolvency. Indeed, some Republican lawmakers have seized on that looming problem as a reason to oppose a proposal to add dental, vision and hearing coverage to Medicare. The provision is included in ...

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Cost Still The Main Hurdle For Small Business Employers Looking To Expand Benefits

Small business owners understand the value of offering benefits, but some struggle to afford them, and businesses can pay a high price tag for making mistakes in administration of benefits, a new report finds.

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Telehealth’s Limits: Battle Over State Lines and Licensing Threatens Patients’ Options

If you live in one state, does it matter that the doctor treating you online is in another? Surprisingly, the answer is yes, and the ability to conduct certain virtual appointments may be nearing an end.

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