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News Articles: Centers for Medicare & Medicaid Services

Dr. Mehmet Oz ran for Pennsylvania Senate in 2022 as a Republican and lost to Democrat John Fetterman. According to financial disclosures he filed at the time, he had significant investments in health care, pharmaceutical firms and tech companies with ties to health care.

Tagged as: 

  • Health

TV's Dr. Oz invested in businesses regulated by the agency Trump wants him to run

The celebrity doctor recently held investments worth tens of millions of dollars in health care, tech, and food companies which could pose significant conflicts of interest.

November 22, 2024
|
By:
  • Darius Tahir
The first price negotiations between Medicare and drugmakers could save the billions of dollars a year for taxpayers and beneficiaries.

Tagged as: 

  • Health

Medicare negotiated drug prices for the first time. Here’s what it got

The White House announced new Medicare drug prices for 10 medicines popular with beneficiaries. It's the first time the federal program has negotiated lower prices with the pharmaceutical industry.

August 15, 2024
|
By:
  • Sydney Lupkin and
  • Asma Khalid
The Biden administration is establishing new standards for how much time each day a nursing home resident gets direct care from a nurse or an aide.

Tagged as: 

  • On Aging

Most nursing homes don't have enough staff to meet the federal government's new rules

The new rules mean 4 out of 5 nursing homes will need more aides and nurses. Unions hailed the change, but advocates say it's not enough care, while nursing home owners say it's an "impossible task."

April 24, 2024
|
By:
  • Jordan Rau
Medicare enrollees with two or more chronic conditions are eligible for Chronic Care Management, which pays doctors to check in with those patients monthly. But the service hasn't caught on.

Tagged as: 

  • Health Care

Medicare's push to improve chronic care attracts businesses, but not many doctors

Most Medicare enrollees have two or more chronic conditions, making them eligible for a program that rewards physicians for doing more to manage their care. But not many doctors have joined.

April 17, 2024
|
By:
  • Phil Galewitz and
  • Holly K. Hacker

Tagged as: 

  • Mental Health

Mental health care is hard to find, especially for people with Medicare or Medicaid

A report from the Department of Health and Human Services' inspector general finds a dire shortage of mental health care providers in Medicaid and Medicare, which together serve some 40% of Americans.

April 03, 2024
|
By:
  • Rhitu Chatterjee
Gov. Brian Kemp with doctors from the Medical Center at Atrium Health in Macon in 2020.

Tagged as: 

  • Health Care

Lawsuit over Kemp’s Medicaid program enters uncharted legal waters

The lawsuit suggests that Pathways to Coverage should get a pass to operate longer than its intended end date next September. But an error in Georgia’s approach makes that complicated.

February 06, 2024
|
By:
  • Sofi Gratas
Hospitals in rural America face a dire financial forecast. The government has an incentive plan to help them keep their emergency departments open, while shutting their inpatient services.

Tagged as: 

  • Health Care

Federal fix for rural hospitals gets few takers so far

Just 18 facilities were converted into Rural Emergency Hospitals so far. Advocates and lawmakers say tweaks to the law are needed to widen the reach and keep health care in rural communities.

January 10, 2024
|
By:
  • Sarah Jane Tribble and
  • Tony Leys
People gathered at the U.S. Capitol in Washington, D.C. in July at a rally held by the Center for Medicare Advocacy. They protested denials and delays in private Medicare Advantage plans.

Tagged as: 

  • Your Health

Uncle Sam wants you to help stop insurers' bogus Medicare Advantage sales tactics

The Biden administration is cracking down on deceptive or misleading Medicare Advantage and drug plan sales tactics. And it's counting on beneficiaries to help catch offenders.

November 30, 2023
|
By:
  • Susan Jaffe
Rep. Matt Gaetz, R-Fla., and other members of the right-wing House Freedom Caucus could force a federal government shutdown Oct. 1. The National Institutes of Health and the Centers for Disease Control and prevention would be affected.

Tagged as: 

  • Health

What happens to health programs if the federal government shuts down?

Medicare and Medicaid are mandatory spending programs and that keeps them relatively safe in the early days of the shutdown, but 42% of the Department of Health's staff will be furloughed.

September 27, 2023
|
By:
  • Julie Rovner
irwin county hospital

Tagged as: 

  • Health

A new federal model for rural hospitals may help them stay open. So far, Georgia has only one

By converting to a Rural Emergency Hospital, existing rural hospitals commit to changing their model of care, with a focus on emergency medicine, in exchange for subsidies from the federal government.

September 15, 2023
|
By:
  • Sofi Gratas
SEIU nursing home workers rally outside Pennsylvania's capitol in Harrisburg in 2022. The union is praising a proposed rule released Tuesday that would increase staffing levels.

Tagged as: 

  • Health Care

Labor unions praise Biden's plan to boost staffing at nursing homes

For the first time ever, nursing homes may soon have to guarantee a registered nurse is working 24/7 in every facility.

September 02, 2023
|
By:
  • Selena Simmons-Duffin and
  • Diane Webber
Grady Memorial Hospital in Atlanta, a large safety-net provider, is seeing more Medicaid and uninsured patients who formerly used the nearby Atlanta Medical Center, which closed last year.

Tagged as: 

  • News

Special Medicaid funds help most states, but prompt oversight concerns

Emanuel Medical Center in rural Georgia racks up more than $350,000 a month in losses providing health care for low-income and uninsured patients. But a new state funding proposal could significantly reduce those deficits, not just for the 66-bed Swainsboro facility, but for most rural hospitals in the state.

April 10, 2023
|
By:
  • Andy Miller
Jen Coghlan outside the home where she grew up in Perry, Iowa. Her father, Henry Ruhl, plans to leave the house to her, but Coghlan expects she'll have to sell it after he dies to settle a $226,611 from Medicaid for the care of her mother, who died in 2022. Coghlan says the family didn't realize that her mother was on Medicaid.

Tagged as: 

  • Health

They could lose the house — to Medicaid

Depending on where they lived, demands for repayment can drain the assets that a patient on Medicaid leaves behind after they die. Iowa aggressively collects "clawback" funds.

March 02, 2023
|
By:
  • Tony Leys
Idaho removed nearly 10,000 people from Medicaid in the pandemic's first years when enrollees couldn't be reached. The episode previews what could occur in other states after April 1, when a COVID-era coverage mandate ends.

Tagged as: 

  • Health

Idaho dropped thousands from Medicaid early in the pandemic. Which state's next?

The federal agency that oversees Medicaid suggested Idaho wasn't trying hard enough to reach beneficiaries before letting their coverage lapse. Consumer advocates fear that could happen again.

February 27, 2023
|
By:
  • Rachana Pradhan
President Joe Biden spoke about his administration's plans to protect Medicare and lower health care costs, Thursday, the same day his administration released draft guidance of Medicare's new plan to regulate drug prices.

Tagged as: 

  • Health

Medicare announces plan to recoup billions from drug companies

Drugmakers will be required to pay Medicare back for price increases that outpace inflation. The industry is expected to put up a fight over implementation.

February 09, 2023
|
By:
  • Leslie Walker and
  • Dan Gorenstein
  • Load More

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