Category: Medicare and Medicaid, Legislation, Public Policy

Four years ago, the Biden administration rolled back a controversial rule that required Medicaid beneficiaries to work in order to receive coverage.

Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023, reflecting steady increases over the past few years as the number of MA enrollees has grown, according to a new KFF analysis.

The Centers for Medicare and Medicaid Services has withdrawn its appeal of a district court ruling that determined the agency must recalculate Medicare Advantage Star Ratings for UnitedHealthcare.
CMS had originally signaled its intent to file an appea…

As President Donald Trump begins his new term, a new KFF tracking poll finds that both Medicare and Medicaid continue to be viewed favorably by large majorities of the public, including majorities of Republicans, Democrats and independents.

The past couple of years have seen the sharp ascendancy of Medicare Advantage to now include more than half of all beneficiaries with Medicare coverage.
The alternative to the traditional fee-for-service Medicare has proven popular with consumers due t…

Although nearly all older Americans have Medicare coverage, they still pay more and are more likely to postpone or skip needed care because of costs than their counterparts in most other wealthy countries, according to new findings from the 2024 Common…

Among those who were insured all year in 2023, almost a quarter (23%) were underinsured, meaning they had coverage for a full year that didn’t provide them with affordable access to healthcare, according to a new survey from the Commonwealth Fund.

The state of Texas is applying the brakes to its new Medicaid contracts, with a Travis County district judge issuing a temporary injunction that stops the Texas Health and Human Services Commission (HHSC) from carrying out new contracts for the Medicai…

States could do more to require Medicaid managed care organizations (MCOs) to improve access for maternal health, according to an Office of Inspector General report.

There are significant barriers to accessing medications for opioid use disorder (OUD) among Medicare and Medicaid beneficiaries, particularly in rural and underserved areas, with many counties lacking either medication for opioid use disorder (MOUD) or…