Nevada Medicaid Program Ranks 5th Worst for Mental Health Services

Medicaid is the single largest payer for mental health services in the United States, playing a critical role in ensuring access to care for millions of adults with mental illness and substance use disorders. An estimated 58.7 million U.S. adults—nearly one in four—live with a mental illness, according to national health data. Among this population, individuals enrolled in ...

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Republican Senator Demands Congress Break Up Insurer-PBM Combinations

Sen. Josh Hawley, R-Mo., demanded Tuesday that Congress move to stop insurance companies from owning pharmacy benefit managers. CVS Health owns Aetna and the Caremark PBM, Cigna owns Express Scripts and UnitedHealth owns Optum Rx. Juan Carlos Scott, chief executive officer of the Pharmaceutical Care Management Association, a PBM group, said at a Senate Judiciary ...

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After Promising Universal Health Care, Gov. Newsom Must Reconsider Immigrant Coverage

The second-term governor faces a tough political decision: renege on his promise to achieve universal health care and strip coverage from millions of immigrants who lack legal status or look elsewhere for budget cuts.

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Trump Signs Executive Order Setting 30-Day Deadline For Drugmakers To Lower Prescription Drug Costs

President Donald Trump on Monday signed a sweeping executive order setting a 30-day deadline for drugmakers to electively lower the cost of prescription drugs in the U.S. or face new limits down the road over what the government will pay.

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House E&C Committee Unveils Budget Reconciliation Proposal, Including Steep Medicaid Cuts

The House Energy & Commerce Committee has released a hotly anticipated budget reconciliation bill that aims to thread the needle between policymakers who want to see Medicaid funding slashed and those who view steep cuts as a political flashpoint. The committee was tasked with cutting approximately $880 billion in federal outlays, and early estimates (PDF) from the Congressional Budget ...

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California May Expand Standard Small-Group Coverage To Include IVF, Hearing Aids

A new in vitro fertilization benefit would make coverage for up to three attempts to create embryos through an IVF process an essential health benefit.

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