Center for Medicare & Medicaid Services

Under the proposal, the Centers for Medicare and Medicaid Services would require as many as 10 drug-makers every year to furnish information to support the price it charges states, which administer Medicaid.

Designed to prevent doctors from deploying expensive, ineffectual procedures, preauthorization has morphed into a monster that denies or delays care, burdens physicians with paperwork and perpetuates racial disparities.

A court decision last year makes it easier for low-income residents in Florida and other states that haven’t expanded Medicaid to make good-faith estimates of a pay increase, and there is no financial penalty if they don’t hit that figure.

In August, Congress approved a $35 cap on what seniors will pay for insulin, but that change came too late to add to the online tool that helps Medicare beneficiaries compare drug and medical plans.

Though the majority of Medicaid recipients have smartphones, most states - including Florida - will rely on snail mail and email to tell people their coverage is at risk with the end of the COVID public health emergency.

CMS chief Chiquita Brooks-LaSure says the agency reserves its power to quickly institute new regulations for “absolute emergencies.” On staffing, nursing home residents might need to wait years to see any real change.

The president wants to set minimum staffing levels for the beleaguered nursing home industry. But, given a lack of transparency surrounding industry’s finances, it’s a mystery how facilities will shoulder the costs.

An epic battle is playing out behind the scenes over whether the government should pay for Aduhelm, an FDA-approved Alzheimer’s drug that scientists say has not been proven to work.

State Medicaid agencies for months have been preparing for the end of a federal mandate that has prevented states from removing people from the safety-net program during the pandemic.

U.S. District Judge M. Casey Rodgers wrote that the state had not shown “irreparable harm” to justify an injunction or temporary restraining order.