Category: CMS

TV’s Dr. Oz Invested in Businesses Regulated by Agency Trump Wants Him To Lead

Celebrity doctor Mehmet Oz recently held broad investments in health care, tech, and food companies. Were he confirmed to run the Centers for Medicare & Medicaid Services, his job would involve interacting with giants of the industry that have contributed to his wealth.

KFF Health News’ ‘What the Health?’: Trump’s Nontraditional Health Picks

Not only has President-elect Donald Trump chosen prominent vaccine skeptic Robert F. Kennedy Jr. to lead the Department of Health and Human Services, Trump also has said he will nominate controversial TV host Mehmet Oz to run the Centers for Medicare & Medicaid Services, which oversees coverage for nearly half of Americans. Meanwhile, the lame-duck Congress is back in Washington with just a few weeks to figure out how to wrap up work for the year. Rachel Cohrs Zhang of Stat, Sandhya Raman of CQ Roll Call, and Riley Ray Griffin of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Sarah Varney, who has been covering a trial in Idaho challenging the lack of medical exceptions in that state’s abortion ban.

KFF Health News Sues To Force Disclosure of Medicare Advantage Audit Records

Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.

Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits

Medicare officials defend the use of home visits that often spot medical conditions that are never treated.

The Medicare Advantage Influence Machine

New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.

Rural NC County Is Set To Reopen Its Shuttered Hospital With Help From a New Federal Program

One rural North Carolina county is on track to be among the first where a hospital reopens owing to a new federal hospital classification meant to help save small, struggling facilities.

ACA Enrollment Platforms Suspended Over Alleged Foreign Access to Consumer Data

Federal regulators provided more specifics about why they suspended two private sector Affordable Care Act enrollment sites, including concerns about potential overseas accessing of consumer data and suspicions of involvement in Obamacare enrollment and switching schemes. The companies reject the assertions.

Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition

A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.

Biden Administration Tightens Broker Access to Healthcare.gov To Thwart Rogue Sign-Ups

The Centers for Medicare & Medicaid Services said it has received more than 200,000 complaints in the first six months of the year about people being signed up for Obamacare plans or switched to new plans without their consent.

Trump Is Wrong in Claiming Full Credit for Lowering Insulin Prices

Though the Trump administration established a voluntary, temporary program lowering insulin costs for some older Americans on Medicare, the mandatory price caps implemented through Biden’s Inflation Reduction Act go significantly further.