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Medicare and Medicaid


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[Opinion] Striking Down ACA Would Weaken Medicare
A Brief Look at the Medicare Secondary Payer Rules
[Guidance Overview] Health Care-Related Expiring Provisions of the 116th Congress, First Session
[Guidance Overview] CMS Releases 2020 Medicare Part D Benefit Parameters
Underreporting of Self-Employed Income Affects Social Security and Medicare
Social Security Error Jeopardizes Medicare Coverage for 250,000 Seniors
Earnings and Employment Data for Workers Covered Under Social Security and Medicare, by State and County, 2016
[Official Guidance] Text of CMS Q&As for Part D Sponsors: Additional Guidance Regarding Part D Bids (PDF)
Federal Subsidies for Health Insurance Coverage for People Under Age 65: 2019 to 2029
A Medicare Primer (PDF)
Private Insurance Payments to California Hospitals Average More Than Double Medicare Payments (PDF)
Some Dayton, Ohio Hospitals Charge Triple What Medicare Pays
How Does Prescription Drug Spending and Use Compare Across Large Employer Plans, Medicare Part D, and Medicaid?
CBO Reply to Sen. Grassley: Negotiation Over Drug Prices in Medicare
Savings Medicare Beneficiaries Need for Health Expenses in 2019: Some Couples Could Need as Much as $363,000
[Guidance Overview] CMS Takes Action to Lower Prescription Drug Prices and Increase Transparency
[Official Guidance] Text of CMS Final Regs: Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses
[Guidance Overview] A Closer Look at the Medicare Advantage Telehealth Flex Rule
[Opinion] Why the New HHS Drug Rebate Rule Deserves (Cautious) Support
[Official Guidance] Text of CMS Final Regs Requiring Drug Pricing Transparency for Medicare and Medicaid Programs
District Court Tells HHS to Revisit 340B Drug Discounts After Ruling Cuts 'Unlawful'
Medicare Buy-In Option Beginning at 55 the Most Likely Expansion Route, Says Former CMS Chief
Medicare's Financial Condition: Beyond Actuarial Balance (PDF)
House Rules Committee to Hold Hearing on the Medicare for All Act
CMS Announces New Initiative for Value-Based Transformation of Primary Care
CMS Launches Value-Based Primary Care Initiative With Downside Risk
2019 Medicare Trustees Report (PDF)
DOJ Takes Aim at Telemedicine with Indictments in $1.2 Billion Medicare Fraud Scheme
Sens. Cruz, Paul, Lee Reintroduce Retirement Freedom Act
CMS Issues 2020 Medicare Part D Benefit Parameters Used for Creditable Coverage Disclosures
CMS Expands Telehealth Benefits under Medicare Advantage
What Are the Medicare Secondary Payer Rules? (PDF)
[Guidance Overview] CMS Finalizes Policies to Bring Innovative Telehealth Benefit to Medicare Advantage
Medicare and Medicaid Contain Costs Better Than Private Insurers
'Medicare for All' Could Eliminate the $600 Billion Insurance Industry
U.S. Health Care Coverage and Spending, 2017
Medicare Won't Pay For Your Annual Physical, Just A 'Wellness Visit'
HHS Proposes Changes to Rebates for Part D Plans Under the Anti-Kickback Statute
Americans Cite Healthcare Expenses as No. 1 Barrier to Early Retirement
'Medicare-For-All' Bill Introduced in the House -- Why Does It Matter?
Congress Mulls Cap on What Medicare Enrollees Pay for Drugs
'Pathways to Success' MSSP Final Rule: Financial Benchmark
74 Medicare ACOs Depart
Medicare Part D Disclosures Due by March 1 for Calendar Year Plans (PDF)
[Guidance Overview] HHS OIG Proposes Anti-Kickback Safe Harbor Amendments to Regulate and Restrict the Provision of Manufacturer Remuneration to Plan Sponsors and PBMs
[Guidance Overview] HHS Proposes New Rules to Eliminate Drug Rebates and Encourage Direct Discounts
[Guidance Overview] HHS Proposes Rule Challenging Drug Manufacturer Rebates to PBMs and Payors
[Guidance Overview] Administration Releases Long-Awaited Drug Rebate Proposal
Winners and Losers Under HHS Plan to Slash Drug Rebate Deals
Estimates of the Impact of Eliminating Rebates for Reduced List Prices at Point-of-Sale for the Part D Program (PDF)
[Official Guidance] Text of HHS Proposed Regs: Removal of Safe Harbor Protection for Rebates Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection for Certain Point-of-Sale Reductions in Price on Prescription Pharmaceuticals and Certain PBM Fees
Essential Facts About Medicare and Prescription Drug Spending
Calendar Year Health Plans Must Complete Online CMS Disclosure by March 1, 2019
Enhancing Work Incentives for Older Workers: Social Security and Medicare Proposals to Reduce Work Disincentives (PDF)
Medicare Expands Value Pay in MA and Part D Plans
GAO Report: Medicare -- Voluntary and Mandatory Episode-Based Payment Models and Their Participants
[Guidance Overview] CMS Announces New Model to Lower Drug Prices in Medicare Part D and Transformative Updates to Existing Model for Medicare Advantage
[Guidance Overview] Text of CMS Value-Based Insurance Design Model (VBID) Fact Sheet CY 2020
HHS Medicare Drug Shift Plan Could Reduce Costs Overall But Raise Them for Some
[Opinion] High Prices Drive High Health Care Spending in the U.S., But So Too Do Other Factors
 
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