How Medicare and Medicaid Rely on Private Health Insurance
For a majority of Medicare and Medicaid recipients, the government program is paying a private health insurance company to provide the service from a private firm. In the Spring 20...
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For a majority of Medicare and Medicaid recipients, the government program is paying a private health insurance company to provide the service from a private firm. In the Spring 20...
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Approximately 35 million Americans are enrolled in Medicare Advantage plans in 2026, and that number is expected to grow to about 45 million MA enrollees by 2030. That means within...
The ... administration inadvertently exposed the Social Security numbers of health care providers in a database powering a new Medicare por... read more...
The Centers for Medicare & Medicaid Services May 20 released a proposed rule that would modify policies governing Medicaid state-directed payment...
Rosa María Carranza leaned forward to hold a 3-year-old's back as the girl climbed a rock in the forested hills of northeast Oakland.
CMS Administrator Dr. Oz has been on a veritable press tour trumpeting the supposed rampant fraud in Medicaid and other government programs, which nationally he claims could add up...
The Centers for Medicare & Medicaid Services announced May 6 that it will provide access to certain glucagon-like peptide-1 (GLP-1) medications to eligible Medicare Part D...
New research from the Elevance Health Public Policy Institute finds that higher enrollment in Medicare Advantage may be linked to lower overall Medicare spending. The post Report:...
Medicaid Fraud Control Units (“MFCUs”) are specialized state law enforcement agencies charged with investigating and prosecuting health care providers who defraud the Medicaid prog...
La ley One Big Beautiful Bill Act del Partido Republicano, firmada en julio pasado por el presidente Donald Trump, prohíbe que ciertas categorías de inmigrantes con presencia legal...
THIS WEEK’S DOSE House Ways and Means Committee hears from hospital and health system executives. The hearing focused on how to improve healthcare affordability and followed the...
A small monthly fee is keeping millions of eligible Medicare beneficiaries from a slew of beneficial and cost-saving care coordination services, backers of the newly introduced Chr...
Medicaid Fraud Control Units: The 2025 Annual Report Medicaid Fraud Control Units (“MFCUs”) are specialized state law enforcement agencies charged with investigating and prosecutin...
For the second time in the 60-year history of the Medicaid program, a CMS deferral of federal matching funds has been announced by the Vice President of the United States at a Whit...
Medicaid often stands between older adults and the crushing costs of long-term care, yet the program is built on a strict financial principle called the “payor of last resort” rule...
On April 23, CMS Administrator Dr. Mehmet Oz sent a letter to all 50 Governors calling upon their Medicaid programs to “undertake a swift revalidation of Medicaid providers of serv...
The “Big Five” have reported their financial and enrollment results for the first calendar quarter of 2026. The “Big Five” are the five largest publicly-traded insurers, measured b...
The moratorium will temporarily stop all new providers in these categories from signing up for reimbursement from Medicare, the federal insurance program for older adults across th...
On April 1, 2026, the Centers for Medicare & Medicaid Services (CMS), through the CMS Innovation Center (CMMI), officially launched a new pilot program which allows participant...
On April 23, 2026, Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services (“CMS”), sent letters to all governors and State Medicaid Directors requesting t...
Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and con...
Key Takeaways CMS and congressional leaders are increasing oversight of state Medicaid programs through off-cycle revalidation demands, fraud investigations and threats to defer f...
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