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Medicare & Medicaid

By Susan Morse | 12:16 pm | August 22, 2022
One organization has engaged legal counsel, saying it hopes deficiencies identified will be corrected in the final rule. 
By Susan Morse | 07:05 pm | August 19, 2022
The departments say they have received "substantially more" disputed claims than expected. 
By Susan Morse | 12:14 pm | August 19, 2022
Health officials have told Politico that HHS will extend the PHE again in October.
By Jeff Lagasse | 03:57 pm | August 18, 2022
Just 38% of MA plan members say they have enough coverage for mental health treatment, down from 39% a year ago.
By Jeff Lagasse | 04:33 pm | August 15, 2022
Part D's programmatic structure may lead to plan sponsors preferring higher-cost versions of hepatitis C drugs, OIG finds.
By Jeff Lagasse | 01:05 pm | August 15, 2022
The insurer's strategy is to expand its geographic presence and the scope of services it can offer.
By Jeff Lagasse | 04:28 pm | August 09, 2022
Premiums, administrative barriers to enrollment and other issues contribute to the low rate of transition to exchange coverage.
By Jeff Lagasse | 04:32 pm | August 08, 2022
While Medicaid-eligible parents appreciate their health plan and trust their doctors, WIC programs hold the key to influencing behavior.
By Jeff Lagasse | 01:05 pm | August 08, 2022
The expansions would bring SCAN's total reach to nearly 7 million potential customers across 20 markets in five states.
By Susan Morse | 12:31 pm | August 08, 2022
The bill would allow Medicare to negotiate lower drug prices, particularly for the most expensive that have been on the market for years.