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.

Large Health Insurers Appear Immune To COVID-19

The largest national health insurers emerged from the first quarter of the year without so much as a scratch from the COVID-19 crisis. And while it’s unclear how long the pandemic will last and how many people will become infected, insurers are betting they ultimately will come out on top.

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3 Possible Effects Of The Supreme Court’s Risk Corridor Ruling

The U.S. Supreme Court’s new Affordable Court Act ruling could add some stability to the individual and family major medical insurance market, at a time the COVID-19 is shaking everything up.

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Health Insurers to Investors: We’re Good. Health Insurers to Lawmakers: Please Help.

Executives at Cigna, the health insurance giant, have signaled to investors that the coronavirus pandemic isn’t hurting the company’s business and might actually be a boon.

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Some Patients Still Being Billed For Telehealth Despite Changes In Insurance Regulations

While numerous health insurers and state regulators have eliminated telemedicine copays and deductibles during the pandemic, some patients are claiming they are being charged up front for audio and video-based appointments, according to Kaiser Health News.

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Health Insurers Propose Subsidies but Shun Government Coverage

Health insurers are pushing Congress for more government help in the face of Covid-19—including near total premium subsidies for people who lose their jobs and stay on their employer-sponsored insurance—but they’re steering clear of the next step, full government-sponsored coverage.

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Amid Coronavirus Distress, Wealthy Hospitals Hoard Millions

Inova Health System, with campuses in some of the wealthiest suburbs of Washington, D.C., and Truman Medical Centers, a safety-net hospital in downtown Kansas City, Missouri, have little in common. But, today, they are confronting the same financial plague: mass cancellations of nonessential surgeries that are their biggest moneymakers while bracing for an expensive onslaught of coronavirus patients.

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In Fine Print, HHS Appears To Ban All Surprise Billing During The Pandemic

Federal officials offering emergency funding to hospitals, clinics and doctors’ practices have included this stipulation: They cannot foist surprise medical bills on COVID-19 patients.

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CMS Releases Guidance For How Health Systems Can Restart Elective Procedures Canceled Due To COVID-19

The Trump administration has released new guidance for health systems on when and how to resume elective procedures that have been on pause due to the COVID-19 outbreak.

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Uncertain COVID-19 Costs Pose Major Challenge To Insurers In Setting 2021 Premiums

Insurers are under the gun to issue premium rates to state regulators in the next couple of months. But the unknown cost impact of COVID-19 poses a massive challenge, according to a new analysis. A report backed by America’s Health Insurance Plans estimates a wide range of costs to insurers based on infection rate: from $56 ...

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Biden’s Incremental Medicare Play For Bernie’s Backers

In one of his first proposals since becoming the presumptive Democratic presidential nominee, Joe Biden is wading back into the roiling waters of health policy.

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