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The Latest Breaking News from CMS

Medicare Advantage Costs Expected to Decrease 6.75% in 2025

Most Medicare Advantage enrollees who remain in their plan will see lower or no increase in their premiums in 2025.

Kiplinger

‘An understaffed and broken system’: 900,000 Texans have lost Medicaid as others struggle to access SNAP benefits

Texas Democrats in Congress are urging the federal government to audit the state’s Medicaid eligibility system

The Texas Tribune

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.

WEKU

From analysis to the latest developments in health,
read the most diverse news in one place.

How Medicare Is Affected by a Government Shutdown

A look at how Medicare is affected by a government shutdown, as well as other government-related health care.

Kiplinger

Medicaid coverage restored to about a half-million people after computer errors in many states

About a half-million people are regaining Medicaid coverage after the federal government says they were dropped inappropriately by states

The Independent UK

Medicare pandemic advances deepen debt for some hospitals - Roll Call

Congress poured billions into hospitals through advances on Medicare claims, but now some medical providers are struggling to pay it back.

Roll Call

HHS releases long-awaited nursing home staffing proposal - Roll Call

The Biden administration's proposed rule would mandate minimum staffing in nursing homes, but it falls short of what advocates had pushed for.

Roll Call

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US will regulate nursing home staffing for first time, but proposal lower than many advocates hoped

The Biden administration says U.S. nursing homes will, for the first time, have to comply with federal rules on staffing levels

The Independent UK

About the new drug pricing negotiations

The first eligible drugs treat diabetes, blood clots, blood cancers, arthritis and heart disease

Salon

Understaffed nursing homes are a huge problem, and Biden's promised fix 'sabotaged'

A study commissioned by the government to recommend minimum staffing levels at nursing homes drew no conclusions. And that means Biden's pledge to set those minimums may come to far less than hoped.

WEKU

5 things consumers need to know about Medicare’s new drug-pricing negotiations, how they’ll affect you

This could help people whose Medicare drug plans require big copayments. But the main relief will come from part of the Inflation Reduction Act that caps drug spending by Medicare recipients at $2,000 a year starting in 2025.

Chicago Sun-Times

Children getting wrongly dropped from Medicaid because of automation `glitch'

The federal Medicaid agency says some children may have been wrongly dropped from the government health-care program as states undertake a massive eligibility review

The Independent UK

Medicare Lists First 10 Drugs for Talks On Lowering Your Costs

New prices for Medicare Part D drugs on list expected in 2026.

Kiplinger

A policy that supports America’s breastfeeding moms came into effect 11 years ago. It’s still not applied

'The failure of the U.S. health care system to support women is incredibly shortsighted.'

Fortune

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The Independent UK

Here are the drugs Biden is targeting first for Medicare price-lowering talks

A pharmaceuticals lobbying group is criticizing the list of drugs President Joe Biden says he’s targeting for price negotiations to cut Medicare costs

The Guardian - US

Biden names 10 drugs for first negotiations to cut Medicare prices

Government claims prices could fall for 9m seniors but pharma companies claim cost-reduction program is unconstitutional

The Independent UK

See which drugs Biden is targeting first for Medicare price-lowering talks

A pharmaceuticals lobbying group is criticizing the list of drugs President Joe Biden says he’s targeting for price negotiations to cut Medicare costs

Fortune

Biden targets diabetes drug Jardiance, blood thinner Eliquis, and 8 others for controversial Medicare price talks. But any relief is still years away

The move is expected to cut costs in a few years for some patients but faces litigation from the drugmakers and heavy criticism from Republican lawmakers.

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Chicago Sun-Times

Biden targets Jardiance, Eliquis and 8 other prescription drugs for Medicare price talks

President Joe Biden says for many Americans the cost of one drug can be “the difference between life and death” as his administration announces the first drugs that’ll be targeted for price negotiations in an effort to cut Medicare costs.

Roll Call

HHS lists first 10 drugs subject to Medicare price negotiation - Roll Call

The program is a major priority for Joe Biden, who ran for president in part on the promise to allow Medicare to negotiate drug prices.

Roll Call

Families, states chart path forward on paid caregiving - Roll Call

COVID-19 health emergency allowed waivers permitting parents and spouses to receive Medicaid dollars for caring for the disabled.

Ballotpedia

House committee votes to prohibit federal funding of BLM rule

The Checks and Balances Letter delivers news and information from Ballotpedia’s Administrative State Project, including pivotal actions at the federal and state levels related to the separation of powers, due process, and the rule of law.

WEKU

Why doctors pay millions in fees that could be spent on care

The shift to electronic medical payments gave rise to a new kind of health care middlemen, who now charge 1-5% every time insurers pay doctors. Here's how lobbyists convinced regulators this was OK.

Fortune

America turned to hospital-at-home programs during the pandemic–but their stunning success calls for a permanent fix

A waiver extension that provides for reimbursement of home hospital care through the Centers for Medicare and Medicaid Services expires on Dec. 31, 2024.

Kiplinger

Tempur Sealy Resumes Operations After Cyber Attack

The mattress giant says a forensic investigation is ongoing.

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