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.
COVID-19 caused a massive 51% drop in outpatient Medicare fee-for-service claims last April compared to 2019 as the pandemic reached full swing, according to a new analysis. The analysis, released Tuesday from consulting firm Avalere Health, sought to explore the impact of the pandemic on healthcare utilization from March through May. The pandemic caused doctors’ offices to ...
Oscar Health has officially filed to go public. The tech-enabled startup insurer filed for its initial public offering on the New York Stock Exchange on Friday, where it intends to list its stocks under the ticker OSCR. Details on the plans beyond that were limited. “The number of shares of Class A common stock to be offered ...
More than 3 million Medicare Advantage beneficiaries chose plans for the 2021 coverage year that provide additional supplemental benefits for chronic illnesses, a major increase over the more than 1 million that signed up in 2020, a new analysis found. The analysis, released Friday by consulting firm Avalere Health, also found the number of enrollees in ...
Ah, the vexing problem of prescription drug prices. As a share of healthcare expenditures, prescription drugs account for about a dime for every dollar spent. And it’s been that way for a very long time. Yet, for patients, because coverage of prescription drugs is much less comprehensive than reimbursement for hospital and physician services they feel the ...
The new Biden administration has started off strong, taking a thoughtful approach to any number of critical health care issues and pulling back a number of new regulations to take a fresh look at these public policy issues. To avoid significant disruption of the Medicare Part D program and avoid a spike in premiums at ...
Insurer groups are praising President Joe Biden’s move to create a three-month special enrollment period despite concerns about the potential for adverse selection. The support means insurers likely believe they could get a large enough pool of new sign-ups to mitigate any changes to the risk pool, several experts said.
Late last month, before President Joe Biden took office and proposed his pandemic relief plan, Congress passed a nearly 5,600-page legislative package that provided some pandemic relief along with its more general allocations to fund the government in 2021.
CMS on Tuesday paused three proposed rules developed under the Trump administration. The proposed rules would affect in-center dialysis coverage requirements for third-party payment programs, enable seniors to keep their Social Security retirement benefits if they opt out of Medicare Part A coverage and increase oversight of accrediting organizations. The White House budget office had ...
Biden To Reopen ACA Insurance Marketplaces As Pandemic Has Cost Millions Of Americans Their Coverage
President Biden is scheduled to take executive actions as early as Thursday to reopen federal marketplaces selling Affordable Care Act health plans and to lower recent barriers to joining Medicaid.
Joe Biden ran on an expansive health care platform during his 2020 presidential campaign, with a broad array of promises such as adding a government-sponsored health plan to the Affordable Care Act and lowering prescription drug prices. Perhaps most significantly, he pledged to get control of the COVID pandemic that claimed more than 400,000 American lives ...