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 For All May Die In 2021

A closely divided Congress and a moderate Democrat in Joe Biden in the White House doesn’t bode well for a government-run single payer version of Medicare for All to emerge in 2021 despite the coming end of Donald Trump’s presidency.

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Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets

Sharon Clark is able to get her life-sustaining cancer drug, Pomalyst — priced at more than $18,000 for a 28-day supply — only because of the generosity of patient assistance foundations. Clark, 57, a former insurance agent who lives in Bixby, Oklahoma, had to stop working in 2015 and go on Social Security disability and ...

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Payers Expect Biden to Expand Affordable Care Act in 2021

The American Benefits Council (ABC) issued a release outlining what payers should expect legislatively post-election including COVID-19 relief and stimulus legislation, Affordable Care Act expansion, and other efforts to ensure Americans have access to the coverage they need. “Without the support of a fully Democratic Congress, President-elect Biden’s broad health plan will be largely stalled,” the release ...

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From COVID-19 To Retail Health: Fierce Healthcare’s Biggest Stories Of 2020

2020 was a year dominated by the fallout from a generational global pandemic. So perhaps it's no surprise that COVID-19 headlines also governed much of our coverage over the course of this year, as we shared the latest on how the coronavirus pandemic was impacting you.

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Private Insurers Getting Smaller Share Of Health Expenditure Pie

Increases in spending on hospital care, physician services and prescription drugs squeezed U.S. commercial health insurers in 2019, according to new federal government health spending data.

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Healthcare Spending Growth Holds Steady In 2019, Despite Jump In Hospital Spending

Even though Americans got more hospital care and prescription drugs in 2019, elimination of a tax on insurers kept the healthcare spending growth rate effectively flat year-over-year.

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Trump’s $200 Medicare Drug Cards Expected to Be Mailed Jan. 1

The Trump administration expects to begin sending $200 prescription drug discount cards to seniors by Jan. 1, a campaign promise to seniors that President Donald Trump was unable to fulfill before losing re-election, a person familiar with the matter said. A White House official described the time line for distributing the cards to Medicare beneficiaries, ...

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Insurers, Providers Prepare For COVID-19 Vaccine Administration Costs

While the federal government is covering the cost of the COVID-19 vaccine for consumers during the public health emergency, some insurers may be left to foot the bill for providers’ time administering the shot. Although several insurers have said their members won’t be charged for the vaccine or its administration, some providers expect to shoulder ...

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‘The Health System Of The Future Will Be Consumer-Centric, Wellness-Oriented And Digitally Connected’

In the year 2020, the COVID-19 pandemic left many businesses in an unprecedented state of uncertainty. Healthcare companies across the care continuum had to face new unknown challenges, pushing them to rapidly learn, adapt and transform the way they deliver healthcare. As a result, the concept of “anytime anywhere care” has become mainstream, changing the rate at which we ...

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Moody’s: Outlook Stable For Health Insurers In 2021 Despite COVID-19, Policy Pressures

The credit outlook for health insurers is stable for next year, though several trends to watch in 2021 could have a notable financial impact, according to a new report from Moody's Investors Service.

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