Latest Kaiser Health News Stories
States that opt to change their Medicaid program must figure out how to delineate who is covered by the new mandate, how to enforce the rules and how to handle the people seeking exemptions.
The program will also set monthly premiums for Medicaid coverage and penalties for those who don’t make the payments.
Doctors are advising patients to be sure to fill medication orders now or are giving away drugs to make sure children have enough if their insurance disappears.
Allowing states to mandate that non-disabled Medicaid enrollees work as a condition for coverage would mark one of the biggest changes to the program since it began more than 50 years ago. A decision on the first of the state requests could come within days.
Medicare is discouraging regional offices from levying fines for “one-time mistakes” or from using daily fines that seek to put pressure on nursing homes to make changes.
A Kaiser Health News analysis of federal inspection records shows that nursing home inspectors labeled mistakes in infection control as serious for only 161 of the 12,056 homes they have cited since 2014.
Some of the nation’s most influential scientists recommend eight steps to lower drug prices. KHN takes the political temperature and tells you the chances of Congress acting on them.
Dramatic increases in spending that came with the influx of newly insured consumers in 2014 and 2015 appear to be moderating.
In an effort to reduce drug costs and increase efficiency, Massachusetts is seeking federal approval to implement a new approach to how the state’s Medicaid program covers prescription medications.
This controversial center created by the Affordable Care Act has a Canadian fan base even as it is at risk in the U.S.
Medicare is examining how rebates and discounts could be shared in some way with Part D beneficiaries to reduce their out-of-pocket costs.
The recent announcement by a top administration official that the federal government will entertain requests to implement work requirements for many adult Medicaid enrollees has raised concerns among advocates for the program.
Medicare officials have been discussing a rule change that would give beneficiaries a share of the secretive fees and discounts that are negotiated for prescription drugs.
Seema Verma, the head of the Centers for Medicare & Medicaid Services tells state officials that she envisions changes that could include work requirements for Medicaid enrollees.
Sept. 30 marks the end of Medicare’s temporary offer to waive penalties for certain late Medicare enrollees with Affordable Care Act insurance coverage.
The federal government plans to spend millions of dollars less this year on advertising and outreach efforts to support the health law’s open enrollment period, which starts Nov. 1.
This is the first federal website designed to help families choose a hospice, but experts aren’t impressed.
The Trump administration is poised to grant states waivers that some critics say could change the shape of the program.
Dr. Sanjay Mishra, the husband of CMS Administrator Seema Verma, is part of a group practice in Indiana that does not accept Medicaid payments.
People who were using marketplace plans instead of Medicare may qualify for the reprieve. They have until Sept. 30 to apply.