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.

Medicaid Spending Hit $581B in 2016. Here’s How Its Projected to Grow Over the Next Decade

Medicaid provided healthcare coverage to 72.2 million people in fiscal year 2016, an increase of 3.1% over 2015.

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Ruling On Health Care Subsidies Could Prove Costly for Government

A federal court ruled this month that a Montana insurer is entitled to federal compensation for subsidy payments under the Affordable Care Act that President Trump abruptly ended last October, a ruling that could reverberate through insurance markets and cost the government hundreds of millions of dollars.

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Paper Jam: California’s Medicaid Program Hits ‘Print’ When The Feds Need Info

In the shadow of Silicon Valley, the hub of the world’s digital revolution, California officials still submit their records to the feds justifying billions in Medicaid spending the old-fashioned way: on paper.

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New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices

Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases.

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California Grapples With Growing Physician Shortage For Low-Income Patients

When Paul Lyons opened a primary-care practice in the Palm Springs area for low-income patients, the need was clear.

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More Than Half of Consumers Don’t Understand Basic Aspects of the Healthcare System, Survey Finds

Improving consumers’ healthcare literacy could save the U.S. healthcare system billions of dollars per year, according to a new analysis from Accenture.

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Nevada Drops Plan for Extra Medicaid Paperwork for Mental Health Care

Nevada Medicaid will reverse its decision to require prior authorization for mental health services after providers and patients raised concerns that the policy change could delay treatment.

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Three File Suit Against Dignity Health, Company That Runs Sierra Nevada Memorial Hospital

A lawsuit has been filed on behalf of three Dignity Health nurses claiming they were required to perform off-the-clock work and were subject to impermissible rounding of time entered on timecard software and an employee monitoring system hospital staff use to record hours worked.

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Obama Calls “Medicare for all’ A ‘good’ Idea

Former President Obama on Friday called "Medicare for all" a "good" idea during a speech in Illinois where he launched his midterm campaign efforts for Democrats. 

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CMS Provides New Flexibility to Increase Prescription Drug Choices and Strengthen Negotiation for Medicare Enrollees

The Centers for Medicare & Medicaid Services (CMS) issued a memo today to Medicare Part D plans, which cover prescription drugs that beneficiaries pick up at a pharmacy, offering plans new tools and flexibility to expand choices and lower drug prices for patients. 

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