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House approves FY 2020 spending deal with health policy changes

December 18, 2019


The House on Tuesday voted to approve two major spending packages that would allocate a total of nearly $1.4 trillion to fund the federal government, including health agencies, through the end of fiscal year 2020.

CMS might have overpaid MA plans by $6.7B in 2017, HHS' OIG says

December 17, 2019


CMS might have improperly paid Medicare Advantage plans an estimated $6.7 billion in 2017 after the plans added diagnoses to beneficiaries' files that in some instances were not supported by medical records, according to an HHS Office of Inspector General report released last week.

House approves Pelosi's Rx pricing bill, rejects GOP alternative

December 13, 2019


The House on Thursday voted 230-291 to pass House Speaker Nancy Pelosi's (D-Calif.) bill intended to lower prescription drug prices in the United States, and voted 201-223 to reject a bill introduced by House Republicans that was intended to serve as an alternative to Pelosi's measure.

Issues with Medicare Plan Finder leads to call for special enrollment period

December 10, 2019


A group of 15 senators on Thursday urged CMS to offer Medicare beneficiaries who have experienced issues with the recently updated Medicare Plan Finder tool an opportunity to change their coverage during a special enrollment period.

Most Medicare beneficiaries don't switch health plans. Here's why that can be a problem.

December 4, 2019


Most Medicare beneficiaries do not switch health plans from year to year, even as new benefits become available and costs associated with the plans change, according to a Kaiser Family Foundation analysis released Monday.

The Medicare Plan Finder tool got a big update. (It's not going well.)

November 27, 2019


CMS earlier this year updated the Medicare Plan Finder tool for the first time in a decade, but users are reporting various technical glitches with the revamped tool, which they say are causing inaccurate cost estimates.

CMS will soon accept applications for a new value-based primary care model

November 27, 2019


CMS on Monday announced that health care providers next month will be able to start applying for the direct contracting pathways under the agency's new Primary Care First alternative payment model.

Improper Medicare payments dip to 9-year low, HHS says

November 20, 2019


HHS on Monday announced the rate of improper Medicare fee-for-service payments in fiscal year (FY) 2019 was at the lowest point since FY 2010.

Will lawmakers again suspend the ACA's health insurance tax?

November 11, 2019


A group of 51 House lawmakers have signed a bipartisan letter calling for another suspension of the Affordable Care Act's health insurance tax, which is scheduled to take effect next year.

Research shows many Medicare beneficiaries face high out-of-pocket costs

November 6, 2019


Many seniors and disabled U.S. residents grapple with high health care costs despite being enrolled in Medicare, according to research published this week.

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