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.

Could California Proposal Affect Medicaid in All States?

California’s plan to establish a single market for drug pricing within the state could set Medicaid policy for the entire country, some experts say, because the federal-state program requires all states to pay the lowest price available in any U.S. market.

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5 Health Care Fights to Watch in 2020

Advocates hope lawmakers can beat the odds and move major health care legislation in the new year.

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5 Trends and Issues to Watch in the Insurance Industry in 2020

The insurance industry appears likely to have another big year in 2020, as growth in government and commercial markets is expected to continue.

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Congress Seeks Drug-Pricing Deal in Spite of 2020 Rancor

In an election year when nobody expects Congress to pass meaningful legislation, lawmakers are feeling strong political pressure to reach a deal on at least one main voter priority: lowering drug prices.

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5 Possible Effects of the Big New ACA Ruling, for Agents

A three-judge panel at the 5th U.S. Circuit Court of Appeals kept suspense about the entire Affordable Care Act legislative package alive this week by ruling that the ACA’s individual coverage mandate provision is an unconstitutional requirement to buy a private product, but that it’s not clear whether killing the provision really kills all of the ACA.

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Warren Sidesteps Health Plan Details Before Nevada Union

Elizabeth Warren told members of Nevada’s powerful casino workers’ union Monday that she wants to see their strong health care plans replicated around the country but the Democratic presidential candidate sidestepped the details of her Medicare for All proposal and how it might affect the union.

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Doctors Win Again, in Cautionary Tale for Democrats

Surprise billing legislation suddenly stalled. Like “Medicare for all,” the proposal would have lowered the pay of some physicians.

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Trump Administration Proposes Limited Drug Importation From Canada

The Trump administration is laying the groundwork to allow some cheaper prescription drugs to be imported from Canada.

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Out-of-Network Billing by Hospital-based Specialists Boosts Spending by $40 Billion

Patients who seek care at in-network hospitals have a significant risk of being treated by and receiving a surprise bill from out-of-network anesthesiologists, pathologists, radiologists or assistant surgeons, a new study by Yale University researchers found.

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Iowa Democrats Worry ‘Medicare for All’ Hurts Key Industry

Kim Motl doesn’t work in the health insurance industry. But her friends and neighbors do. So when she saw Sen. Elizabeth Warren recently in Fort Dodge, Iowa, Motl pressed the Democratic presidential candidate about her “Medicare for All” plan, which would replace private insurance with a government-run system.

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