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.

Medicare Trustees Project Hospital Fund To Run Out In 2026, Same Deadline As Year Before

Medicare’s insurance trust fund that pays hospitals is expected to run out of money in 2026, the same projection as last year, according to a new report from Medicare’s board of trustees. The report, released Tuesday, found Medicare spent $925.8 billion in 2020 and served 62.6 million people. It found that the COVID-19 pandemic had a ...

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Centene To Consolidate Its Medicare Advantage Plan Branding Under Wellcare

Centene is consolidating all of its Medicare Advantage (MA) brands under the Wellcare name, the government insurance giant announced Thursday. Centene closed its acquisition of Wellcare Health Plans in January 2020, which led to a slew of disparate MA brands across 33 states, the company said. The $17 billion deal created one of country’s largest sponsors of government insurance. ...

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Business Groups Withdraw Suit Challenging Health-Price Transparency Rule

The U.S. Chamber of Commerce and a Texas affiliate withdrew a suit filed to block parts of a federal rule requiring insurers and employers to disclose prices they pay for healthcare services and drugs.

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Anthem Blue Cross, Dignity Health Reach New Network Agreement In California

Anthem Blue Cross and Dignity Health have mended fences and reached a new network agreement in California.

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CMS Delays Enforcement Of Key Parts Of Price Transparency Rule By 6 Months

The Biden administration has delayed enforcement of key parts of a major insurer price transparency rule by six months until July 1, 2022, to give plans more time to comply. The Centers for Medicare & Medicaid Services (CMS) announced the change in a new guidance released Friday focusing on the final price transparency rule released ...

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Alignment Healthcare Enters Into Agreement With CareMore Health, Adding More Than 3,000 Providers To Its 2022 Provider Network In Arizona...

Medicare Advantage company Alignment Healthcare (NASDAQ: ALHC) today announced the addition of CareMore Health to its provider network in Arizona and Nevada starting Jan. 1, 2022, pending regulatory approvals. This agreement provides new and existing Alignment Health Plan members access to 3,350 CareMore providers, expanding Alignment’s care options for seniors during Medicare’s annual enrollment period for 2022, ...

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Biden Calls On Congress To Act On ‘Outrageously’ High Drug Prices

President Biden on Thursday called on Congress to act to lower the "outrageously" high price of prescription drugs as lawmakers prepare to press forward on the issue.

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Here Are 3 Major Policy Areas That Health Industry Groups Are Closely Watching In $3.5T Infrastructure Bill

The Senate is getting into the nitty-gritty of what exactly will be included in a massive $3.5 trillion infrastructure package that seeks to make major reforms to Medicare. And that means healthcare industry groups are watching very closely.

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Early 2021 Data Show No Rebound In Health Care Utilization

Early in the COVID-19 pandemic, stay-at-home measures, potential risk of COVID infection at a hospital or doctors’ offices, and concerns over hospital capacity led to sharp declines in health care utilization and spending, including drops in hospital admissions for both acute and elective procedures. There was also a drop in preventive service use. Spending decreased across all health services. While telemedicine use increased rapidly during the ...

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Framework For $3.5T Senate Package Seeks To Close Medicaid Gap, Add New Medicare Benefits And Tackle Drug Prices

Senate Democrats want to give Medicare the power to negotiate for lower drug prices, add new benefits to Medicare and close a Medicaid coverage gap in a new $3.5 trillion infrastructure package.

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