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Medicare & Medicaid

By Jeff Lagasse | 04:25 pm | April 30, 2025
The insurer says it's enhancing its Medicaid platform, focusing largely on dual-eligibles.
By Susan Morse | 12:28 pm | April 28, 2025
NIH received backlash after the director announced last week that it would amass private medical records to give to HHS Secretary RFK Jr. 
By Susan Morse | 12:02 pm | April 24, 2025
Private medical records from federal and commercial databases will reportedly be given to HHS Secretary RFK Jr. for the study.
By Susan Morse | 11:33 am | April 23, 2025
The amount is based on Walgreens' ability to pay, and if sold, the company would owe an additional $50M, DOJ says.
By Jeff Lagasse | 03:56 pm | April 17, 2025
The decision was the latest chapter in ongoing litigation between Humana and CMS over the validity of its star ratings.
By Susan Morse | 06:23 pm | April 14, 2025
The proposed rule removes measures for health equity, vaccines for healthcare staff and the social drivers of health. 
By Jeff Lagasse | 04:13 pm | April 11, 2025
CCA insures nearly 50,000 Massachusetts residents who are dually eligible for Medicare and Medicaid.
By Jeff Lagasse | 12:18 pm | April 11, 2025
House GOP members are demanding cuts of at least $1.5 billion in federal spending, but Senate Republicans are divided.
By Susan Morse | 11:36 am | April 11, 2025
Starting Jan. 1, 2026, payers must send prior authorization decisions within 7 days and expedited decisions within 72 hours.
By Susan Morse | 11:51 am | April 10, 2025
Any regulatory response to nursing home "deficiencies" must be consistent with legislation governing nursing homes, ruling says.