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News Items, by Subject

Medicare and Medicaid

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Ohio Tells Medicaid PBMs That 2019 Will Be a Time for Transparent Contracts
Retiree Health Benefits Education: What Boomers Want and Need
[Guidance Overview] CMS Proposes 'Pathways to Success,' an Overhaul of Medicare's ACO Program
Medicare to Overhaul ACOs But Critics Fear Less Participation
[Guidance Overview] CMS Takes Action to Lower Drug Prices Paid by Medicare Advantage Plans
HSA Contribution Rules: Counter-Intuitive Coordination with Medicare
Savings Available Under Full Generic Substitution of Multiple Source Brand Drugs in Medicare Part D (PDF)
ERISA and Medicare Part D Preempt Arkansas Law Regulating Pharmacy Benefits Managers
What Are Your Health Insurance Options If You Retire Before Medicare?
[Guidance Overview] Telehealth Reimbursement May Be Coming to Medicare: CMS Proposes Medicare Payment for Virtual Visits and Review of Pre-Recorded Images
Medicare Billing Overhaul to Transform Documentation, Expand Telehealth
Prescription Drug Costs Retirees Should Expect to Pay
HSA Eligibility for Retirement-Age Individuals
Who Must Get a Medicare Part D Disclosure Notice?
Retiree Healthcare Back in Focus
[Opinion] The Myth of Medicare's Projected Insolvency
Medicare Trustees Report Shows Lower Spending Projections for Medicare Part D
Medicare Financial Outlook Worsens
Social Security Combined Trust Fund Reserves Depletion Year Remains 2034
Declines in Hospital-Acquired Conditions Save 8,000 Lives and $2.9 Billion in Costs
Facts About Medicare That All Employers Should Know
Outdated Medicare Marketing Strategies Likely to Cost Health Plans Millions
Costs for Seniors Jump as Generic Drugs Move to Higher Formulary Tiers in Part D Plans
HSAs and Medicare: Like Oil and Water
HSA + Medicare: Using an HSA to Pay for Medicare Premiums and More
CMS Sends Clear Message to Plans: Stop Hiding Information from Patients
CMS Releases 2019 Medicare Part D Benefit Parameters
[Opinion] Urban Institute Proposes the 'Healthy America Program'
HHS to Resurrect Medicare Part B Price Bidding Program
The Lifetime Medical Spending of Retirees
Employer-Sponsored Insurance Stable for Low-Income Workers in Medicaid Expansion States
Proposal Would Allow Employers to Purchase Medicare for Employees
CMS Proposed Regs Would Require Hospital Price Transparency
Recent Updates to Medicare and Social Security: Why They Matter (PDF)
Is Your Employer Health Plan Coverage Creditable?
[Guidance Overview] CMS Proposes Changes in Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System
Retirement and Health Plan Provisions in the Bipartisan Budget Act of 2018
How Fear of Catastrophic Health Care Expenses May Cause Retirees to Inefficiently Self-Insure (PDF)
CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements
GOP Lawmakers Expected to Draft Bill to Expand Telehealth Services Under Medicare
No Breach of Fiduciary Duty for Health Plan TPA That Overpaid Claims for Participant Eligible for ESRD-Based Medicare
Medicare Advantage Plans Cleared to Go Beyond Medical Coverage -- Even Groceries
CMS Sets 3.40 Percent Hike in 2019 Payments to Medicare Insurers
CMS Lowers the Cost of Prescription Drugs for Medicare Beneficiaries
Thousands Mistakenly Enrolled During California's Medicaid Expansion, Feds Find
Medicare and COBRA Enrollment
[Opinion] Congressional Letter to CMS Requesting Changes to 2019 Advanced Notice and Call Letter (PDF)
Bipartisan Budget Act Affects Retirement and Health Care Plans
CMS Expands Reimbursement for Telehealth Services
Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs)
[Guidance Overview] Medicare Secondary Payer Compliance for Group Health Plans
[Guidance Overview] March 1 Deadline for Calendar Year Health Plans to Complete CMS Disclosure
The Bipartisan Budget Act Boosts Medicare: Flexibility and Financing for Healthcare Plans and Providers
Budget, White Paper Provide Insight Into Administration's Strategy on Drug Pricing
New Budget Bill Eliminates ACA's Independent Payment Advisory Board
How Do Prescription Drugs Affect the Use of Other Health Services?
Medicare Beneficiaries' Out-of-Pocket Health Care Spending as a Share of Income Now and Projections for the Future
Medicare Premium, Deductible and Coinsurance Numbers for 2018
Medicare Fails to Recover Hundreds of Millions of Dollars in Lab Overcharges
CMS Releases Medicare Part A and B Premium Values for 2018
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