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.

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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In California, Medical Care Means Big Money – and Big Politics

Spending on health care in the state now exceeds $400 billion a year — more than $10,000 per person. That has led to an explosion of political attention, just as agriculture and industrial activity dominated California's political landscape in their heydays.

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What Would Happen If The ACA Went Away?

Any day now, the 5th Circuit Court of Appeals in New Orleans could rule the entire Affordable Care Act unconstitutional. At least it seemed that two of the three appeals court judges were leaning that way during oral arguments in the case, State of Texas v. USA, in July.

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Analysis: In Medical Billing, Fraudulent Charges Weirdly Pass As Legal

Much of what we accept as legal in medical billing would be regarded as fraud in any other sector. I have been circling around this conclusion for the past five years, as I’ve listened to patients’ stories while covering health care as a journalist and author.

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The I.R.S. Sent a Letter to 3.9 Million People. It Saved Some of Their Lives.

Three years ago, 3.9 million Americans received a plain-looking envelope from the Internal Revenue Service. Inside was a letter stating that they had recently paid a fine for not carrying health insurance and suggesting possible ways to enroll in coverage.

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Obamacare Back at the High Court – With Billions for Insurers on the Line

More than $12 billion is at stake for the nation’s health insurers Tuesday when the Supreme Court hears another Affordable Care Act case.

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