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.

Drug Industry Pledges More Price Transparency in Ads, Stops Short of Full Disclosure

Prescription drug advertisements on television will soon direct patients to more information about the cost of the drugs under new principles agreed to by members of the largest drug industry trade group.

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U.S. to Require Prices on Drug Ads as Pharma Girds for a Fight

U.S. health officials want to force pharmaceutical companies to disclose the prices of their products in television advertisements, setting up a clash with drugmakers who see the move as impinging free speech.

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Medicare Advantage Riding High As New Insurers Flock To Sell To Seniors

Health care experts widely expected the Affordable Care Act to hobble Medicare Advantage, the government-funded private health plans that millions of seniors have chosen as an alternative to original Medicare.

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Insurer Anthem Will Pay Record $16M for Massive Data Breach

The nation's second-largest health insurer has agreed to pay the government a record $16 million to settle potential privacy violations in the biggest known health care hack in U.S. history, officials said Monday.

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Trump Signs New Laws Aimed at Drug Costs and Battles Democrats on Medicare

President Trump signed bipartisan legislation on Wednesday that would free pharmacists to tell consumers when they could actually save money by paying the full cash price for prescription drugs rather than using health insurance with large co-payments, deductibles and other out-of-pocket costs.

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Medicare Advantage Plans Shift Their Financial Risk to Doctors

Dr. Christopher Rao jumped out of his office chair. He'd just learned an elderly patient at high risk of falling was resisting his advice to go to an inpatient rehabilitation facility following a hip fracture. 

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Verma, Azar Take Aim at ‘Medicare for All’ Proposals

Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma took another swipe at calls for a “Medicare for All” healthcare system this week, saying expanding those benefits to every American would “dilute” the program. 

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Immigrants’ Health Premiums Far Exceed What Plans Pay For Their Care

President Donald Trump has repeatedly condemned U.S. immigration policy, arguing that many immigrants pose a threat to the nation and drain U.S. resources. But a study released Monday about health insurance challenges the president’s portrayal.

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Drugmakers Play The Patent Game To Lock In Prices, Block Competitors

David Herzberg was alarmed when he heard that Richard Sackler, former chairman of opioid giant Purdue Pharma, was listed as an inventor on a new patent for an opioid addiction treatment.

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Feds Settle Huge Whistleblower Suit Over Medicare Advantage Fraud

One of the nation’s largest dialysis providers will pay $270 million to settle a whistleblower’s allegation that it helped Medicare Advantage insurance plans cheat the government for several years.

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