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.

CMS Proposes Extension Of Medicare Telehealth Coverage

CMS is proposing to extend Medicare coverage of certain telehealth services granted for the COVID-19 public health emergency to the end of 2023 to help gather data that can determine whether the services should be permanently covered.

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GOP Joins Dems In Taking On Big Pharma

Senators working to keep the bipartisan infrastructure deal alive are zeroing in on Medicare prescription drug rebate formulas to offset up to $60 billion of the $1.2 trillion package, people familiar with the matter tell Axios.

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Report: Only 5% Of Hospitals Fully Compliant With Controversial Price Transparency Rule

A new analysis found only 5.6% of hospitals were fully compliant with a major price transparency rule, with most failures centered on not posting payer-negotiated prices. The analysis released Friday by the group PatientRightsAdvocate.org is the latest evidence of widespread noncompliance with the rule, which went into effect back in January. “These findings align with previous research indicating ...

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California Makes It Easier for Low-Income Residents to Get and Keep Free Health Coverage

The World War II veteran needed to repay the loan for the water pump installed on his 1-acre property in rural Tulare County, the only source of water to his mobile home. He carefully socked away a few thousand dollars so he could make the payoff — only to find that those savings put him over the asset threshold to remain on Medi-Cal, California’s Medicaid program for low-income people.

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Biden Calls For Efforts To Lower Drug Prices As Part Of Executive Order To Foster Competition

President Biden is calling on federal health officials to intensify efforts to drive down prescription drug prices as part of an executive order he signed Friday to spur federal agencies to promote economic competition.

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Plugging Obamacare’s Biggest Hole Poses Dilemma For Democrats

Democratic lawmakers are grappling with how to extend health insurance to millions of poor Americans in states that have refused Obamacare’s Medicaid expansion, believing their upcoming party-line “human infrastructure” package represents the best chance to plug the health law’s biggest gap.

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Telehealth Use Falls 37% From Pandemic Highs, While Demand For Healthcare Services Projected To Flatten: Report

Future demand for healthcare services will be relatively flat to declining, with little to no effect from the COVID-19 pandemic, according to a new forecast report.

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Employers Fear Costs as States Adopt Public Option Health Plans

Businesses are worried that public option health plans taking shape in some states may end up costing them more than the high premiums they already pay.

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No Surprises Act Regs Leave Out Broker Comp Disclosure Regs

Federal agencies have rolled out 411 pages of No Surprises Act regulations — without giving health insurance agents and brokers anything but one small hint about how they’ll implement the producer compensation disclosure section.

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COVID-19 Continues To Impact Premium Rates

As the health insurance rate-setting season approaches, the big question on everyone’s mind is, “how will COVID-19 impact health premium rates in 2022?” While the full financial impact of COVID-19 is not yet known, it is expected that the ramifications of the pandemic will be experienced for years to come. Based on this, there are ...

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