Dissecting The Rhetoric Vs. Reality Of Trump’s Tough Talk On Drug Prices
President Donald Trump’s upcoming speech on drug prices comes after months of public comments and debate about tackling the issue.
CMS
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Medicare Advantage Plans Cleared To Go Beyond Medical Coverage — Even Groceries
Under new federal rules unveiled this week, these privately run alternatives to traditional Medicare might provide air conditioners, rides to medical appointments and home-delivered meals.
By Susan Jaffe -
Thousands Mistakenly Enrolled During California’s Medicaid Expansion, Feds Find
California health officials do not dispute most of the findings, saying they have already made improvements in determining eligibility.
By Chad Terhune -
Lifting Therapy Caps Is A Load Off Medicare Patients’ Shoulders
Last month’s budget deal means Medicare beneficiaries are eligible for physical and occupational therapy indefinitely. Plus, prescription drug costs will fall for more seniors.
By Susan Jaffe -
CMS Issues Split Decision On Arkansas Medicaid Waiver
A top Senate Democrat calls the move “a mockery of the HHS ethics process" after Centers for Medicare & Medicaid Services Administrator Seema Verma did not recuse herself in the decision to approve the Medicaid work requirement in Arkansas — the third state to get such a waiver.
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Indiana Gets Federal Approval For Medicaid Plan That Could Slice Enrollment
HHS officials sign off on a plan that could lock out for six months thousands of people who fail to get their paperwork done promptly.
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Indiana Medicaid Drops 25K From Coverage For Failing To Pay Premiums
The state branded its Medicaid expansion with some key conservative policies, and officials and advocates across the country are keenly watching the results.
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Trump’s Work-For-Medicaid Rule Puts Work On States’ Shoulders
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.
By Phil Galewitz and Pauline Bartolone -
Kentucky Is First State Granted Approval For Medicaid Work Requirements
The program will also set monthly premiums for Medicaid coverage and penalties for those who don’t make the payments.
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With CHIP Funds Running Low, Doctors And Parents Scramble To Cover Kids’ Needs
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.
By Phil Galewitz and Emmarie Huetteman -
Trump Administration Clears Way To Force Some Medicaid Enrollees To Work
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.
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Trump Administration Relaxes Financial Penalties Against Nursing Homes
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.
By Jordan Rau -
Infection Lapses Rampant In Nursing Homes But Punishment Is Rare
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.
By Jordan Rau -
Experts Tell Congress How To Cut Drug Prices. We Give You Some Odds.
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.
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Pace Of U.S. Health Spending Slows In 2016
Dramatic increases in spending that came with the influx of newly insured consumers in 2014 and 2015 appear to be moderating.
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Massachusetts Grabs Spotlight By Proposing New Twist On Medicaid Drug Coverage
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.
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Canadians Root For An Underdog U.S. Health Policy Idea
This controversial center created by the Affordable Care Act has a Canadian fan base even as it is at risk in the U.S.
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Medicare Seeks Comment On Ways To Cut Costs Of Part D Drugs
Medicare is examining how rebates and discounts could be shared in some way with Part D beneficiaries to reduce their out-of-pocket costs.
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Trump Administration Plan to Add Medicaid Work Requirement Stirs Fears
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.
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Pressure Builds To Cut Medicare Patients In On Prescription Deals
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.