Medicare

Here’s when drug prices will start to decrease for Medicare recipients

BY: - December 6, 2022

Starting next month, a $35 cap on insulin prices will go into effect for millions of Medicare recipients. The lower pricing is one of the first of several policy measures Americans will see in the coming months and years under the Inflation Reduction Act signed into law in August. The bill also requires pharmaceutical companies […]

After Congress fails to add dental coverage, Medicare weighs limited benefit expansion

BY: - October 18, 2022

Proposed changes in Medicare rules could soon pave the way for a significant expansion in Medicare-covered dental services, while falling short of the comprehensive benefits that many Democratic lawmakers have advocated. That’s because, under current law, Medicare can pay for limited dental care only if it is medically necessary to safely treat another covered medical […]

COMMENTARY

Seniors will save on health care and drug costs under Inflation Reduction Act provisions

BY: - October 5, 2022

Rising costs are weighing on everyone’s minds. This couldn’t be more true for seniors, who often live on fixed incomes and have significant health care needs. Meanwhile, health care costs are skyrocketing and seniors are forced to pay thousands of dollars a year on care — leaving less room for rent, groceries, and other basic […]

Centene agrees to pay Massachusetts $14 million over Medicaid prescription claims

BY: and - October 3, 2022

Massachusetts has become the latest state to settle with health insurance giant Centene Corp. over allegations that it overbilled the state’s Medicaid program for pharmacy services. St. Louis-based Centene, the nation’s largest Medicaid managed-care insurer, will pay $14.2 million, according to Massachusetts Attorney General Maura Healey. Before the Massachusetts agreement, Centene had settled with Ohio, […]

U.S. House Democrats send sweeping climate, health and tax legislation to Biden

BY: - August 15, 2022

WASHINGTON — The U.S. House on Friday cleared Democrats’ long-sought climate, health care and tax package, sending it to President Joe Biden for his signature. The roughly $750 billion measure is much smaller than the $2 trillion reconciliation package the House originally sent to the Senate in November. The final product left out dozens of […]

How Medicare prescription drug coverage would change under U.S. Senate Democrats’ bill

BY: - August 8, 2022

WASHINGTON — A major spending bill from U.S. Senate Democrats would allow Medicare for the first time in its history to begin negotiating the prices of certain high-priced prescription drugs — a proposal that’s been around for years but has never come so close to the finish line. Under the legislation, Medicare would start negotiating the […]

Medicare prescription drug negotiation plan advanced by U.S. Senate Democrats

BY: - July 7, 2022

WASHINGTON — U.S. Senate Democrats have reached a tentative agreement to negotiate the cost of prescription drugs in the Medicare program, the first step in passing a long-stalled package that’s expected to include tax and climate change provisions as well. The deal, brokered between Senate Majority Leader Chuck Schumer and West Virginia Democrat Joe Manchin […]

Former CVS exec accuses it of ripping off seniors, taxpayers

BY: - June 28, 2022

The top leadership of CVS Health directed an illegal scheme to work across the corporation’s sprawling subsidiaries to drive up drug prices in the Medicare program, says a whistleblower suit that was recently unsealed in the Eastern District of Pennsylvania. It accuses CVS of breaching firewalls between its SilverScript prescription drug plan, CVS Caremark, its […]

Government watchdog: Health care giants improperly denied Medicare benefits

BY: - May 6, 2022

The health care companies offering Medicare Advantage plans improperly denied services and payments at what might seem an alarming rate during a one-week test period in 2019, according to a government report released last week. The companies — many of which are also major players in the Ohio Medicaid system — improperly denied payment 18% […]

Report: Medicare drug reforms would save seniors billions

BY: - March 10, 2022

A report published Monday says that another, less-sweeping (Medicare) change would save American seniors $18 billion a year, an annual average of about $281 for each senior getting drugs through Medicare Part D.

Free at-home COVID tests to be handed out to Medicare beneficiaries this spring

BY: - February 4, 2022

WASHINGTON — Starting this spring, Medicare beneficiaries will be able to get up to eight over-the-counter COVID-19 tests per month at no cost. The Center for Medicare and Medicaid Services announced Thursday that eligible pharmacies and participating organizations will begin distributing the tests in the coming months to individuals on either original Medicare or in […]

Record number of Americans sign up for ACA health insurance

BY: - January 3, 2022

By Phil Galewitz and Andy Miller, Kaiser Health News A record 13.6 million Americans have signed up for health coverage for 2022 on the Affordable Care Act marketplaces, the Biden administration announced last month. President Joe Biden’s top health advisers credited the increased government subsidies, which lowered out-of-pocket costs, for the surge in enrollment. They […]