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Medicare & Medicaid

By Susan Morse | 11:02 am | April 24, 2025
Private medical records from federal and commercial databases will reportedly be given to HHS Secretary RFK Jr. for the study.
By Susan Morse | 10:33 am | April 23, 2025
The amount is based on Walgreens' ability to pay, and if sold, the company would owe an additional $50M, DOJ says.
By Jeff Lagasse | 02:56 pm | April 17, 2025
The decision was the latest chapter in ongoing litigation between Humana and CMS over the validity of its star ratings.
By Susan Morse | 05:23 pm | April 14, 2025
The proposed rule removes measures for health equity, vaccines for healthcare staff and the social drivers of health. 
By Jeff Lagasse | 03:13 pm | April 11, 2025
CCA insures nearly 50,000 Massachusetts residents who are dually eligible for Medicare and Medicaid.
By Jeff Lagasse | 11:18 am | April 11, 2025
House GOP members are demanding cuts of at least $1.5 billion in federal spending, but Senate Republicans are divided.
By Susan Morse | 10:36 am | April 11, 2025
Starting Jan. 1, 2026, payers must send prior authorization decisions within 7 days and expedited decisions within 72 hours.
By Susan Morse | 10:51 am | April 10, 2025
Any regulatory response to nursing home "deficiencies" must be consistent with legislation governing nursing homes, ruling says.
By Susan Morse | 11:23 am | April 09, 2025
This translates to $25 billion for MA insurers in 2026.
By Jeff Lagasse | 03:38 pm | April 08, 2025
The quality of payers' digital experiences is lagging behind those of finance and property and casualty insurance, finds J.D. Power.