Category: Medicare and Medicaid, Legislation, Public Policy

Senate Finance Committee advances Dr. Oz’s nomination as CMS administrator

The Senate Finance Committee on Tuesday advanced Dr. Mehmet Oz’s nomination to become administrator of the Centers for Medicare and Medicaid Services.
The 14 to 13 vote was along party lines. Oz next faces a vote for confirmation before the full Senate

CMS cutting four Medicare payment models

The Center for Medicare and Medicaid Innovation (CMMI) is planning on ending four payment models by the end of the year in a bid to achieve a projected $750 million in savings, though the agency did not say where the savings would take place.

CMS cutting four Medicare payment models

The Center for Medicare and Medicaid Innovation (CMMI) is planning on ending four payment models by the end of the year in a bid to achieve a projected $750 million in savings, though the agency did not say where the savings would take place.

Curbing Medicaid expansion could cause $80 billion hit to providers

Cutting Medicaid funding and halting the program’s expansion would result in providers revenues decreasing by about $80 billion, and uncompensated care on behalf of uninsured people would increase by $18.9 billion in 2026 due to declines in health insu…

Most Medicaid adults are working, KFF analysis finds

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 about 50 million prior authorization determinations in 2023

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.

CMS withdraws appeal of UnitedHealth’s star ratings lawsuit

The Centers for Medicare and Medicaid Services has withdrawn its appeal of a district court ruling that determined the agency must recalculate Medicare Advantage Star Ratings for UnitedHealthcare.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…

Poll: Spend more on Medicare and Medicaid, voters say

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.

Trends 2025: Medicare Advantage prospects strong despite challenges

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…

Older Americans struggling with healthcare costs

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…