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5 Takeaways From the First Iowa Senate Debate
In a top Senate battleground, Representative Ashley Hinson, the Republican nominee, sparred with Josh Turek, her Democratic rival, on policy issues ranging from Medicaid to term limits.
Arkansas campaign ad sparks conservative backlash for portra...
An Arkansas campaign ad depicting a white man as a Medicaid recipient who refuses to work has sparked a conservative backlash, reviving debate over the racializ...
‘A tsunami and an earthquake’: Rural health care braces for Medicaid cuts
North Shore Health and other health care providers are bracing for the effects of H.R. 1, also known as the One Big Beautiful Bill Act. Changes to Medicaid from the new law are being phased in over several years, with some provisions extending into 2028. In Minnesota, however, some eligibility restrictions took effect Oct. 1....
Former CT resident admits to health care fraud. She caused almost $1.3M in losses to Medicaid
She allegedly participated in a scheme to defraud health care benefit programs by submitting fraudulent claims from the company she owned and operated.
Senate candidate Andrews says Medicaid cuts 'will be devastating' to SC
In Greer, U.S. Senate candidate Annie Andrews discussed what she calls America's 'broken healthcare system' and shared ideas for making it better.
New Mexico Health Care Authority creates shareable resources about Medicaid changes
NEW MEXICO (KRQE) – The New Mexico Health Care Authority has launched a Medicaid Partner Toolkit to help community organizations, health care providers, advocates and other partners explain upcomin…
Hidden Risks and Costs of Maternal/Infant Health that Health Plans Miss
A new report from ProgenyHealth offers a window into how the business works with commercial and Medicaid plans to close gaps in maternity and NICU care management that traditional programs overlook.
Arkansas campaign ad sparks conservative backlash for portraying lazy welfare recipient as white
A new video from Arkansas Gov. Sarah Huckabee Sanders was standard issue Republican messaging for promoting her state’s stricter rules for people on Medicaid
Doctors, Insurers Sue Newsom over Health Insurance Premium Increases
In June, lawmakers passed a healthcare tax that could increase premiums in order to combat federal Medicaid cuts.
American Heart Association Lobbies on Health, Tobacco, Nutrition
The AHA's lobbying disclosure outlines priorities on health care, tobacco, Medicare and Medicaid, agriculture and government issues. Read more.
Davids Fights Washington Healthcare Cuts with Plan to Lower Costs, Protect Kansas Hospitals
WASHINGTON, D.C. — Today, U.S. Representative Sharice Davids (KS-03) introduced a comprehensive package of healthcare legislation that directly counters Washington’s recent healthcare rollbacks, which are increasing monthly costs and closing rural hospitals. Davids’ efforts would protect Kansas families from rising medical costs, block new federal red tape, and keep local hospitals and health clinics open.
Some mental health providers hoping to serve Lane County's Oregon Health Plan members say they’re facing barriers
Aspire is one of a few healthcare providers in Lane County that told KLCC they want to – but haven’t been able to – get a contract with Lane County's Medicaid insurer Trillium. That’s left Aspire without access to its target population, and other providers considering scaling back their services.
Watch live: RFK Jr., Trump officials unveil health care price transparency push
Health and Human Services Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz will announce new efforts Monday aimed at strengthening health c…
Delta Health Center Receives Funding
Delta Health Center, Inc. has received four awards totaling $4,660,331.59 through the Mississippi Rural Health Transformation Program, a state initiative funded by the Centers for Medicare & Medicaid Services. Governor Tate Reeves announced the four RHTP awards on September 14, as part of 167 awards totaling more than $104 million statewide. The awards announced will […]
Delta Health Center Receives Funding
Delta Health Center, Inc. has received four awards totaling $4,660,331.59 through the Mississippi Rural Health Transformation Program, a state initiative funded by the Centers for Medicare & Medicaid Services. Governor Tate Reeves announced the four RHTP awards on September 14, as part of 167 awards totaling more than $104 million statewide. The awards announced will […]
How Americans’ Financial Health Is Faring In The “K-Shaped” Economy
Hey all, Jason here. Money20/20 is still two weeks away, but I’ve already started packing (not procrastinating for once!). My calendar is already filling up with various sessions I want to catch, meetings, and of course happy hours, dinners, and other side events. If you’ll be in Vegas and want to catch up, let me know by replying to this email, and we can try to find a time amidst the chaos of the Venetian. A big if not totally unexpected piece of news dropped on Friday: the Independent Community Bankers of America, a trade group that represents smaller U.S. banks, filed a lawsuit against the OCC and Comptroller Jonathan Gould, arguing that the regulator’s move to grant trust bank charters to firms seeking to use them to conduct substantial non-fiduciary activities exceeds the authorities granted to the OCC by Congress. I haven’t had time to fully digest the legal filing or speak to folks in my network about it, but you can expect to see coverage and analysis on it in next week’s newsletter. Subscribe or Support by Upgrading The NerdCon agenda just dropped. It’s stacked. Partner content: Nubank built an AI-first bank. Chime built its own banking core. Figure and Valon are rebuilding the mortgage stack. At NerdCon, you’ll hear from the people behind those bets: what they chose, what they learned, and what they’re still figuring out. The agenda is live, with leaders from Nubank, Chime, OpenAI, Remitly, Mercury, Figure, Valon and more. Follow the mainstage conversations, bring the problem your team is wrestling with to a hands-on workshop, or pull up a chair at a roundtable. Pick your quests. Meet us in San Diego, November 18–20. Fintech Business Weekly readers save 20% with code FBW20. Explore the Agenda Things To Know & Other Good Reads Federal Reserve Board finalizes changes to enhance the transparency and public accountability of its stress test and reduce volatility in its stress test-related capital requirements (Federal Reserve Board of Governors) FDIC Announces Conclusion of Independent Monitorship (FDIC) Modernizing Financial Regulation: Initial Observations from eSLR (Fed Vice Chair for Supervision Michelle Bowman) The Data Version of Godzilla versus Kong: FRED Takes on AI (Fed Governor Christopher Waller) Financing the AI buildout (Brookings) Q3’26: Rules for Banks but Not for Crypto (Fintech Takes Banking) The Inevitability of Local Stablecoins (Lombard Notes) Delusions of AI Governance: The Human-in-the-Loop Comfort Blanket (Fintech Snark Tank) Stripe agrees to acquire Parafin to expand revenue opportunities for platforms and help small businesses grow (Stripe) Listen: Fighting Fraud in the Age of AI, with SEON’s Tamas Kadar (Fintech Business Weekly) How Americans’ Financial Health Is Faring In The “K-Shaped” Economy If there is one overarching theme across the economy and politics in the U.S. at the moment, it’s “affordability.” The term is vague enough to encompass a panoply of factors shaping Americans’ day-to-day lives: rising costs for the hallmarks of being “middle class,” including healthcare, housing, childcare, and education, inflation and rising interest rates, and a job market with the specter of AI hovering over it. At the same time, policy shifts under the Trump administration have resulted in reduced subsidies to those who get health insurance under the Affordable Care Act and new restrictions on qualifying for Medicaid and SNAP, the impacts of which have yet to be fully felt. These factors are contributing to declining consumer confidence and general dissatisfaction with the economy, despite continuing GDP growth and stock market records. This divergence is encapsulated in the idea of the “K-shaped” economy, in which a small proportion of Americans have seen their wealth balloon, while the majority of American households struggle to preserve the lifestyle they have. Perhaps the greatest determinant of which branch of the “K” a household is on is whether their wealth and income are primarily derived from employment vs. from assets. Nearly two decades of low interest rates and, more recently, elevated rates of inflation have benefited asset owners, while those whose income is primarily or solely derived from labor have largely seen real purchasing power stagnate or decline. This is reflected in recent Bureau of Labor Statistics data showing that labor share of U.S. GDP — the fraction of economic output that accrues to workers as compensation in exchange for their labor — dropped to just 52.8% in Q2 2026, the lowest since the BLS began keeping records. In 1947, approximately 2/3rds of economic output accrued to workers; even as recently as 2001, labor’s share of GDP was 64.1%. Against this backdrop, we’ve seen the rise of more credit and credit-like products: cash advance apps, “no-fee” overdraft, earned wage access, and buy now pay later, which are often used as small-dollar short-term borrowing mechanisms to meet immediate consumption needs or pay other bills (eg utilities, cell phone, other debt payments). With the markers of a middle class existence and, increasingly, basic financial stability seemingly out of reach for many, it should be no surprise there’s been an increase in “financial nihilism,” something industry peers like Alex Johnson and Frank Rotman have discussed and analyzed the roots of. The explosion of gambling and gambling-adjacent products and services — often marketed under the guise of being an “investment” — is inextricably intertwined with the rise of financial nihilism. Crypto, sports betting, and, more recently, prediction markets offer an escape or even hope of sorts, like a contemporary, digital version of a scratch-off lottery ticket, while leaving the overwhelming number of people who use such products worse off. Share of Households That Are Financially “Vulnerable” Ticks Up The Financial Health Network’s 2026 Financial Health Pulse® report adds context on how American households are faring. (I linked to this report in last week’s newsletter, but wanted to take time to further unpack the data in the report this week.) The Financial Health Network publishes the report annually, providing insight into how Americans’ financial circumstances are changing over time. The 2026 report is derived from a survey fielded in April and May 2026. The report leverages survey responses to assess indicators of financial health across spending, saving, borrowing, and planning/protecting and to determine a zero to 100 “FinHealth” score. Those with scores between 0 and 39 are considered “Financially Vulnerable,” consumers with scores ranging between 40 and 79 are defined as “Financially Coping,” and those with scores of 80 to 100 are “Financially Healthy.” The report found that moderate improvements in 2025 were reversed, with the share of respondents considered financially “vulnerable” rebounding to 17%. The longitudinal data reflect the impact of pandemic-era programs, like expanded unemployment, cash stimulus payments, and pauses of federal student loan payments. The positive impacts of those programs, as reflected in the Financial Health Pulse reports, had largely disappeared by 2023. While pandemic-era inflation — to be fair, in part caused by the various support and stimulus measures — had come down from as high as 9% in 2022, it has rebounded since the start of Trump’s second term, with tariffs and energy market disruptions owing to the war in Iran pushing prices back up. Specific indicators in the survey that deteriorated from 2025 to 2026 include the share of respondents spending less than their income over the past 12 months, the share paying all bills on time over the past 12 months, the share that have a manageable amount or no debt, the share that are “moderately” or “very” confident their insurance is adequate to cover them in an emergency, and the share that “somewhat” or “strongly” agree that their household plans ahead financially. Unsurprisingly, lower- and moderate-income households are more likely to struggle to pay their bills on time and have any funds leftover to save. The share of low-income households whose income exceeded their spending dropped from 35% in 2025 to 31% in 2026, while the share of upper-income households whose income exceeded expenses remained unchanged at 63%. Households with student loans or revolving credit card debt reported having “a bit more” or “far more” debt than was manageable at rates far higher than those not carrying these types of debts. The share of those with student loan debt indicating their debt load was too high to manage increased from 50% in 2025 to 55% in 2026, while the share of those with revolving credit card debt saying the same ticked up from 51% in 2025 to 54% in 2026. Households that had student loans were markedly more likely to be financially “coping” or “vulnerable” vs. those without student loans. In 2026, 27% of households with student loans were considered financially vulnerable, a jump of 6% points vs. 2025. Households without student loans saw just a 1% point increase (not statistically significant) in those considered financially vulnerable. Households’ perception of the affordability of categories of goods and services paints a stark picture, with less than one-fourth considering higher education affordable, about a third deeming childcare affordable, and less than half viewing healthcare as affordable. Fintech Business Weekly is made possible by the generous support of paying subscribers — bringing you independent analysis of banking, fintech, and crypto without fear or favor. You can support my work by becoming a paying subscriber if you aren’t already. Paying subscribers enjoy: access to the entire archive of nearly six years of newsletters extended versions of the weekly newsletter, with additional content and analysis and (for founding member tier) quarterly personal 1:1 fintech Q&A / strategy calls with me, tapping into my unparalleled knowledge of the intersection of banking and fintech and experience working in the sector, including helping to launch Goldman Sachs’ retail bank Marcus Support Fintech Business Weekly You can also support Fintech Business Weekly by sponsoring a newsletter or podcast, putting you in front of 93,000+ of the most influential decision makers in banking, fintech, and crypto. Learn more about sponsor opportunities or request a media kit by dropping me an email. Democratic Senate Report Highlights How Iran Uses Tether to Evade U.S. Sanctions Iran uses stablecoins, specifically Tether, to evade sanctions, fund regional proxies, and to purchase military drones, a report released last week by the Senate Permanent Subcommittee on Investigations says. The report was authored by committee ranking member Senator Richard Blumenthal (D-CT) and the minority staff. Crypto and stablecoin proponents will often push back on criticism that criminals make use of these assets by arguing that, on an absolute dollar basis, far more illicit funds flow through traditional banking systems and payment rails than via crypto and stablecoins. And while that is likely true, it elides the reality presented in news story after news story: whether state actors — Russia, Iran, North Korea — or criminal groups, those looking to engage in illicit transactions increasingly favor stablecoins and, specifically, Tether (USDT). The report from the Senate Permanent Subcommittee on Investigations released last week adds context to how Iran uses Tether has a lynchpin in its shadow banking system. The report analyzed 846 wallets that have been sanctioned or targeted for seizure, finding that 84% of them transacted exclusively or primarily in Tether. The ability to create near limitless, anonymous wallets and to move funds effectively instantaneously and irreversibly have made crypto a favored financial mechanism for bad actors. Stablecoins solved key drawbacks of bitcoin, namely, the original cryptocurrency’s highly volatile value in dollars. And while Tether (the company) has the technical ability to “freeze” or destroy funds, the company is often limited and reactive in its approach to doing so, the Senate report argues. Tether, which is nominally based in crypto-friendly El Salvador, “has stated that its compliance with OFAC sanctions is ‘voluntary’ and that it follows ‘OFAC guidelines,’” the Senate report says. Owing to these favorable attributes, Tether “became a primary cryptocurrency for Iran, Hamas, Hizballah, and the Houthis beginning in 2023 and has expanded in scale since,” according to the report. Tether’s role in Iran’s shadow banking system, the report says, is enhanced by crypto exchanges like Bybit, Kyrrex, OKX, Gate, and Binance, and through “over the counter” exchanges and hawala networks. The consequences of these financial flows aren’t hypothetical. The Senate report links Tether as a funds transfer mechanism to Iranian proxies in the region, including Hizballah, the Houthis, and Hamas. Tether has also been used to make payments to secure components necessary to manufacture drones, the report says. The report concludes by arguing that “[s]tablecoin issuers with a significant nexus to the United States, particularly those that offer dollar-denominated stablecoins, should be subject to American sanctions law rather than being allowed to hide behind foreign jurisdictions.” Stablecoin issuers like Tether must be held accountable for repeated failures to prevent illicit finance and sanctions violations by law enforcement, the Department of Justice, the Securities and Exchange Commission, and OFAC, the report argues. [Paying Subscriber Exclusive] OUSD Goes Live, Make Your Own Neobank, U.S. Sanctions Russia’s A7 Network As “Transnational Criminal Organization” OpenUSD, the stablecoin issued by the Open Standard consortium that includes Stripe, Visa, Mastercard, core providers, crypto firms, and numerous banks, went live last week. Social commerce platform Whop raised eyebrows in fintech by offering creators on its platform the ability to launch their own neobanks, which the company describes as “great businesses that are easy to run,” in just 15 minutes. And OFAC and FinCEN target Russia’s “shadow banking” A7 Network — more on these stories after the paywall.
Insurance Reform Is the Bipartisan Opportunity Washington Should Seize
Both parties in Congress are advancing legislation that would improve health-care transparency.
Republicans tried to punt health care cuts until after the midterms. It didn’t work.
While most GOP-enacted cuts to Medicaid and other safety net programs won’t happen until 2027, Democrats are speaking to the voters already feeling the squeeze.
Doctors, insurers sue Newsom over health insurance premium increases
In June, lawmakers passed a healthcare tax that could increase premiums in order to combat federal Medicaid cuts. A new lawsuit says that tax violates Proposition 35, passed by voters in 2024.
NH families sue Trump administration over Medicaid ban on transgender health care
Four families say their minor children could lose access to gender-affirming treatment under a pending change in Medicaid rules.
Lawmakers probe allegations that NC health officials used false information to secure Medicaid funds
GOP lawmakers in NC say they are looking into allegations that state health officials used false information to secure federal funding for a Medicaid technology overhaul. The claims were made in a lawsuit that has since been dismissed. The state auditor has revived an audit into the project.
IRS takes up whistleblower claim of Hope Florida money that flowed to Uthmeier’s political committee
The Internal Revenue Service is reviewing a whistleblower claim about $10 million in Medicaid settlement money that moved through the Hope Florida Foundation and, within weeks, into a political committee chaired by James Uthmeier, now Florida’s attorney general, according to new records obtained by the Florida Trident.
Some new Medicaid rules have already changed: Why New Jersey officials and residents are worried about what happens next
Hundreds of thousands of Garden State residents covered by NJ FamilyCare will need to fill out paperwork on a new reporting schedule starting Jan. 1.
NC health plans form task force to fight Medicaid fraud
Investigators from the state’s Medicaid managed care organizations will share tips and tactics in an effort to catch suspicious billing sooner.
Thousands of noncitizens in Georgia expected to lose Medicaid benefits due to One Big Beautiful Bill changes
Many lawfully present immigrants in Georgia to lose health insurance under 'One Big Beautiful Bill' law H.R. 1
At least 2,213 lawfully present immigrant Georgians may lose access to Medicaid coverage as soon as this month. The state continues to work through Medicaid eligibility reviews as new federal immigrant restrictions roll out, a spokesperson for the Dept. of Human Services said.
Health Brief: Drugmakers unscathed by Trump’s drug price plan
Plus: Governors warn of a Medicaid work requirements crunch
'It's a nightmare.' Former refugee, professor on Trump's new Medicaid policy
Starting Oct. 1, many immigrants who are here legally lose their Medicaid coverage because of the Republican budget bill passed last year.
STATEMENT: Refugees & Legal Immigrants Lose Healthcare Coverage
Starting October 1, refugees and other immigrants who are living in the U.S. legally are no longer eligible for Medicaid or CHIP.
More than 100,000 CT residents could lose health coverage next year
Connecticut forecasts that about 108,000 residents could be at risk of losing Medicaid as new HUSKY D eligibility requirements take effect.
More than one thousand Maine immigrants to lose Medicaid on Oct. 1
More than a thousand immigrants in Maine will lose their health insurance starting Oct. 1, due to Medicaid eligibility changes passed through President Donald Trump’s 2025 budget law. H.R. 1 made significant cuts to the national health insurance program that millions of low-income households rely on, removing certain groups of immigrants, as well as adding […]
Bates named executive director of HHS Medical Services Division | Health and Human Services North Dakota
North Dakota Health and Human Services (HHS) has named health policy expert Stephanie Bates to lead its Medical Services Division, which administers Medicaid services, the Children’s Health Insurance Program, autism services and other health-related services that benefit North Dakotans.
New Medicaid eligibility rules begin to take effect Thursday
The ongressional Budget Office projects the changes will push about 16% of people currently on Medicaid or CHIP off those programs
New Policies Pose Risks to Health of Lawfully Present Immigrant Families and Children, Including U.S. Citizen Children
Several policy changes taking effect this fall will negatively impact immigrants and mixed-status families. As my colleague Leo Cuello has pointed out, undocumented immigrants are not eligible to enroll in Medicaid coverage, therefore, this blog explains changes that apply to lawfully present immigrant families and children (many of whom are U.S. citizens). It’s also worth […]
LePage calls for federal crackdown on Medicaid fraud
The comments came during a roundtable discussion with House Majority Whip Tom Emmer (R-Minnesota), who talked about Medicaid fraud in his state.
Immigrants with legal status at risk of being dropped from Medicaid
The One Big Beautiful Bill ends eligibility for refugees, asylees, trafficking victims and others, and its impact could be larger than initially predicted.
Newly proposed federal rules would have “disastrous” impact on Medicaid, insurance funding, state says
Proposed federal rules could cut hundreds of millions of dollars annually for Medicaid and also impact health insurance programs, state says.
US Poised To Boot Legal Immigrants From Medicaid, Including Refugees and Sex-Trafficking Victims
The Congressional Budget Office estimated 100,000 more immigrants will be uninsured by 2034 because of Medicaid eligibility changes under President Trump’s One Big Beautiful Bill Act that take effect Oct. 1. A KFF Health News survey of nine states found many more are at imminent risk of losing health coverage.
Montana starts enforcing Medicaid work requirements on Oct 1. Patients are confused
In most states, people with Medicaid coverage will have to prove they're working, volunteering or studying, starting Jan. 1. But Montana is starting that early, and it's sowing confusion and anxiety.
9,300 noncitizens in Illinois to lose Medicaid benefits due to changes by federal government
The new federal eligibility changes mean immigrants seeking asylum and those who entered the country through humanitarian parole will also lose health coverage.
Whistleblowers allege top NC health officials used false information to secure Medicaid funds
In a newly unsealed federal lawsuit, former state workers allege North Carolina health officials used false information to secure federal funding for a Medicaid technology overhaul, and that federal regulators approved money despite red flags. The lawsuit was dismissed but might be revived.
E&C package suggests fraud will continue as GOP health care message - Live Updates
Democrats have come after Republicans for Medicaid cuts. Republicans say the cuts were necessary to combat rampant health care fraud.
Medicaid is about to end in NC for thousands of refugees
Thousands of refugees and people granted asylum who are living in North Carolina will lose their Medicaid coverage due to cuts made in the 2025 federal spending bill.
Maternal Mortality Reviews Drive Medicaid, Health Equity Changes
GAO report reveals how maternal mortality review committees are pressuring states to expand Medicaid and mental health services. Discover key findings.
Changes coming to Medicaid: what you need to know | Department of Behavioral Health and Intellectual disAbility Services
Official website of the City of Philadelphia, includes information on municipal services, permits, licenses, and records for citizens and businesses.
Iowa attorney sentenced to federal prison for health care fraud
A 67-year-old Iowa attorney has been sentenced to six months in federal prison after pleading guilty in a health care fraud case. Timothy Mark Anderson of Garner worked with clients with nursing home expenses who hoped to qualify for Medicaid. According to the Department of Justice, Anderson is also “an avid collector of luxury vehicles” […]
About 8,000 lawfully present Pennsylvania immigrants face Medicaid health insurance terminations on Oct. 1
New federal Medicaid eligibility cuts for immigrants, including refugees and asylees, were passed by Congress and President Trump.
Millions of dollars are coming for rural health. But thousands are losing Medicaid to pay for it.
Many West Virginians will stop qualifying for Medicaid. A new rural healthcare fund won’t help them pay for care.
Confusion and Angst Follow State's Early Rollout of Medicaid Work Rules
In most states, people with Medicaid coverage will have to prove they’re working, volunteering, or studying starting Jan. 1. But Montana put the rules into effect early, and they’re sowing uncertainty and anxiety.
Gabe Evans, Dr. Oz discuss Medicaid, visit new UNC building in Greeley
U.S. Rep. Gabe Evans and CMS Administrator Dr. Mehmet Oz visited Greeley to discuss Medicaid fraud prevention, state budget pressures and UNC's new osteopathic medical school.
Haaland Tours Rural New Mexico Hospital, Highlights Medicaid and Health Care Challenges
Overview: Democratic gubernatorial nominee Deb Haaland visited Presbyterian Española Hospital on Sunday, touring its facilities and meeting with health care professionals about challenges facing rural hospitals and the potential impact of Medicaid cuts. Native Vote 2026 Deb Haaland (Laguna Pueblo), the Democratic nominee for governor of New Mexico, visited Presbyterian Española Hospital on Sunday, where […]
Haaland Tours Rural New Mexico Hospital, Highlights Medicaid and Health Care Challenges
Native Vote 2026 Deb Haaland (Laguna Pueblo), the Democratic nominee for governor of New Mexico, visited Presbyterian Española Hospital on Sunday, where she toured health care facilities and participa...
As work requirements kick in for Medicaid, some states are taking a tougher stance
At least six states will require documentation that individuals are too sick to meet Medicaid work requirements kicking in next year. The rules are stricter than what the federal government is requiring.
LEARN Behavioral Entity Sues to Stop MassHealth Medicaid Recoupment
A Massachusetts autism therapy provider has sued 10 public officials and entities to stop a Medicaid recoupment effort that local providers have decried
LEARN Behavioral Entity Sues to Stop MassHealth Medicaid Recoupment
A Massachusetts autism therapy provider has sued 10 public officials and entities to stop a Medicaid recoupment effort that local providers have decried
Understanding the Role of Medicaid Fraud Control Units (MFCUs)
This brief describes the role of Medicaid Fraud Control Units (MFCUs) in program integrity efforts, examines caseload and case outcome data, and current issues facing MFCUs.
Georgia governor's race: Where Bottoms and Jackson stand on health care
Where do Bottoms and Jackson stand on Medicaid expansion and health care access? Credits: Video by Miasarah Lai, Sources: AJC | CSPAN | Riley Bunch / AJC
140,000 Missourians are at risk of losing Medicaid coverage under a new rule. One enrollee is suing
A new lawsuit challenges Medicaid regulations set to go into effect Jan. 1 that could hinder access to healthcare for people with chronic conditions. A Kansas City-based nonprofit says its client qualifies but struggles to clear administrative hurdles.
Rogers Tries to Make El-Sayed’s Health Care Plan Scary
_Taylor, Michigan_HERE’S HOW YOU CAN TELL Mike Rogers is anxious to make up ground in the Michigan Senate race: He held a press conference on health care last weekend. Health care is usually a rough issue for Republicans, because voters associate the GOP with attacking cherished programs like Medicare and Medicaid that Democrats have historically supported. It’s a particularly difficult issue in this campaign, because a few months ago Donald Trump and the Republicans refused to extend temporary financial assistance in the Affordable Care Act. As a result of that decision, more than 20 million Americans faced higher insurance prices this year. That’s not a policy choice you want to be defending at a time when voters frequently cite the cost of health care as a top concern. Throw in the fact that Democratic nominee Abdul El-Sayed can draw on his credibility as a doctor and former public health director in Detroit, and it might seem like Rogers’s best bet would be to avoid health care altogether. But Rogers had his reasons to spotlight health care last Saturday. And they became apparent a few minutes before he spoke, when members of his campaign staff There’s a lot happening. Too much, some days. We can’t promise to have all the answers. But we can promise to keep asking the questions, following the facts, and figuring things out alongside people who care about where this country is headed. Read with us. Learn with us. And when it matters, stand with us. Join the side you’re already on. Join Bulwark+
Is CVS Health (CVS) Cheap As Renewables And Cancer Care Expansion Lift Optimism?
CVS Health (CVS) has put sustainability and access to care in focus, committing to source 50% of its electricity from renewables by 2040, while Aetna expands bundled cancer treatment authorizations for Medicaid members. Recent headlines around CVS Health’s renewable energy push and Aetna’s broader cancer care bundles have landed alongside a 1-year total shareholder return of 21.37% and a 3-year total shareholder return of 43.14%. At the same time, the 90-day share price return has declined...
2 Cincinnati home-health aides accused of stealing thousands from Medicaid
Two Cincinnati home-health aides accused of stealing thousands from Medicaid
As work requirements kick in for Medicaid, some states are taking a tougher stance
At least six states will require documentation that individuals are too sick to meet Medicaid work requirements kicking in next year.
Meal deliveries can save money and improve health. Will they survive Medicaid cuts?
Some states deliver meals to Medicaid patients that address their dietary needs. Evidence shows it aids recovery and saves healthcare costs, but federal budget cuts may lead some states to cancel it.
Local health care CEOs express concern about Medicaid changes
Federal changes coming to Medicaid in 2027 are already concerning the leaders of St. Charles Health System, Summit Health and Mosaic Community Health. They warned the public in a City […]
Delaware awards $23M to local health centers, braces for Medicaid reductions
Three Delaware medical centers are poised to receive nearly $23 million this year as the state looks to bolster rural healthcare.
North Carolina restores perinatal program after Medicaid funding dispute delayed research
Perinatal Quality Collaborative revives projects on newborn screenings and maternal mental health to launch in 2027, officials said.
Quality Behavioral Health Facing Federal Medicaid Fraud, Forced Labor Investigation
Quality Behavioral Health and its leader have petitioned the courts to have federal law enforcement give back $18.8 million in assets investigators seized
Government inaction, cuts are worsening Louisiana’s health outcomes
Advocates are trying to improve Louisiana’s health rankings. But Louisiana is still ranked last, with few signs of improvement.
New 2027 Medicaid work rules mean 600K Oregon Health Plan members are getting notices
Oregon has begun sending letters to about 600,000 Oregon Health Plan members warning them about new requirements taking effect next year that potentially impact their eligibility for Medicaid benefits. For […]
Suwanee health provider charged with Medicaid theft
A Suwanee behavioral health provider faces 31 felony counts after state prosecutors accused her of stealing more than $40,000 from Georgia Medicaid while traveling out of state.
Quality Behavioral Health named in $18.8M federal case alleging Medicaid fraud, forced labor
The federal government is seeking to seize nearly $18.8 million in cash, bank funds, and precious metals as part of a civil forfeiture case alleging a Detroit-area behavioral health provider defrauded Medicaid and used forced labor involving people receiving treatment.
A growing tool to help CT Latinas with postpartum mental health: Spanish-speaking doulas
The Hispanic Health Council, in collaboration with Hartford Hospital, launched its doula program to bridge access gaps after Connecticut Medicaid began reimbursing doulas for their work.
Federal complaint alleges Medicaid fraud, forced labor by Quality Behavioral Health CEO
The federal government is seeking to seize nearly $19 million in bank funds, cash, and precious metals linked to Quality Behavioral Health, alleging the organization’s CEO used Medicaid beneficiaries as forced labor and submitted claims for services that were not provided.
After new federal requirements, changes coming to the Oregon Health Plan
About 600,000 Oregon Health Plan members will soon receive a notice that Medicaid is about to change.
Expanded Medicaid dental coverage is improving oral health in Utah
The expansion has made an essential health care service available for tens of thousands of Utahns.
US says it canceled 315,000 Obamacare policies last month
The US Centers for Medicare & Medicaid Services said on Tuesday it canceled 315,000 Obamacare health plans covering about 760,000 people last month, citing unverified citizenship or immigration documentation and suspected improper enrollments.
Federal Rural Health Funds Can’t Stop Harm to Hospitals from Medicaid Cuts - Kentucky Center for Economic Policy
Rural health funds should send just under $1.1 billion Kentucky, not even a tenth of what rural Kentucky is expected to lose in Medicaid funding.
Why an influential GOP health policy expert still backs the Medicaid cuts — and which policy target is next
Why an influential GOP health policy expert still backs $1 trillion in Medicaid cuts — and which policy target is next.
After new federal requirements, changes coming to the Oregon Health Plan
About 600,000 Oregon Health Plan members will soon receive a notice that Medicaid is about to change. In Oregon, that means some people will need to renew their coverage every six months instead of every two years. Many between the ages of 19 and 64 will also need to prove they work or volunteer.
PUBLIC COMMENT — Medicaid Program; Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes
This proposed rule represents one of the most economically significant and socially beneficial deregulatory actions in HHS’s history.
Access Health CT Revises Open Enrollment Dates For 2027
Access Health CT is Connecticut’s official health insurance marketplace, where residents can shop, compare and enroll in health and dental plans. It is also where eligible customers can get financial help and enroll in low or no-cost insurance through HUSKY Health Programs (Medicaid and the Children’s Health Insurance Program (CHIP)) or the Covered CT Program
Implementation of 2025 Reconciliation Law: Medicaid Managed Care Rate Setting Uncertainty & Potential Plan Exits
This policy watch examines recent and anticipated managed care rate setting challenges and the potential implications of MCO exits.
Federal change threatens Medicaid coverage for 25K legal immigrants in NJ
A Medicaid eligibility change could end healthcare coverage for 25K legal immigrants in NJ starting Oct. 1.
As Medicaid cuts near, one free Chicago clinic pushes expansion
Chicago-based Community Health doesn’t take Medicaid, Medicare or other payment, so it is doubling down on a growth strategy to meet the expected influx of newly uninsured patients.
Liberian official’s Minnesota group home accused of overbilling Medicaid
A new state investigation found Golden Touch Health Care billed Medicaid for 45 hours of services per day — a number that was mathematically impossible on many days based on its staffing levels.
Oregon Health Plan members to receive notices on changes to Medicaid
BEND, Ore. (KTVZ) -- About 600,000 Oregon Health Plan members are beginning to receive notices about federally required changes to Medicaid coverage, including new work or activity rules that will affect some adults beginning January 1st, 2027. The Oregon Health Authority said the notices being sent this month are informational only, and members do not
Fillmore County offers measles vaccinations after confirmed case
The clinic will cost $5 per person, or free for those covered by Minnesota Health Care Program Insurance (Medicare/Medicaid).
Trump announces all 50 states joining Medicaid drug pricing model
The Trump administration claims that Medicaid will save billions on prescription drug costs as a result of the plan, dubbed the Medicaid “GENEROUS” model. Experts say the savings are unclear since the content of the deals isn't public.
The Watch: Drought-Flood Whiplash Intensifies As Climate Warms
Frequent extreme shifts in weather challenge communities’ preparedness…lagging protections pose health risks as data centers boom…nearly half of all young Medicaid users could lose coverage under new policies…and more
Health Brief: White House touts Medicaid drug deals
Plus: Three pressure points for global health.
Trump announces all 50 states joining Medicaid drug pricing model
President Donald Trump announced that all 50 states will join a program to provide Most Favored Nation pricing for some Medicaid drugs. The administration claims this plan, called the Medicaid
MAJOR MEDICAID LAWSUIT
Medicaid Enrollees Challenge Rule Threatening Coverage for People With Serious Health Conditions
Trump announces all 50 states joining Medicaid drug pricing model
President Donald Trump announced that all 50 states will join a program to provide Most Favored Nation pricing for some Medicaid drugs.
Novant Health drives $4.33B in regional economic impact, study says
Novant Health Coastal Region generates an annual overall economic impact of $4.33 billion in the Wilmington Metropolitan Statistical Area (MSA), according to a new report. Commissioned by Novant Health and conducted by Mouhcine Guettabi, associate professor of economics at the University of North Carolina Wilmington and the area’s regional economist, the report evaluates population growth in New Hanover, Brunswick and Pender counties and whether the area’s healthcare infrastructure is positioned to meet the region’s demand. According to the study, while healthcare employment has kept pace with population growth in New Hanover and Pender counties, it has not kept up with the rapid population growth in Brunswick County, which is skewed toward an older population. “It points very clearly to Brunswick County being the bottleneck, or being the place where investment is most needed,” Guettabi said to the Business Journal Friday, “because the growth is the fastest, the composition of the growth is older (adults) and demand for healthcare is much higher for the subpopulation.” The Novant Health Coastal Region employs 8,295 full-time equivalent workers, according to the report, and is the region’s largest employer. Overall, through direct, indirect and induced impacts, the Novant Health Coastal Region supports 19,573 jobs, the report said. Using data collected from internal payroll, financial and capital reports, the report estimates that Novant Health Coastal Region pays approximately $1.15 billion in total compensation to its employees. According to the study, the provider’s annual operating expenditures, or direct economic impact, total $2.36 billion. That direct impact ripples through the regional economy through spending at its suppliers, or indirect impact, and household spending by staff and its suppliers’ workers, or induced impact. The report estimates the Novant Health Coastal Region’s indirect economic impact is $786 million, reflecting the multiplying effect of the provider’s operating expenses on expenditures like medical supplies, facilities, food, IT and professional services. Because 86.9% of Novant Health Coastal Region employees live within the tri-county region, the report estimates that wages paid by Novant circulate into the regional economy, creating an induced economic impact of $1.17 billion. “That money just doesn’t go into thin air,” Guettabi said of the wages paid to Novant Health Coastal Region employees. “Some of that money is being re-spent, and therefore it’s supporting grocery stores, hiring, restaurants and bars, and there are a lot of other companies or organizations whose employment, whose activity partially depends on that.” The combination of direct ($2.36 billion), indirect ($786 million), and induced ($1.17 billion) impacts totals an estimated $4.33 billion, according to the report. A study commissioned by Novant Health in 2024 and conducted by FTI Consulting’s Center for Healthcare Economics and Policy found that Novant Health generated nearly $2 billion of direct impact, with $628 million in indirect impact and $857 million in induced impact. Healthcare investments in the pipeline for Brunswick County Additionally, the study found that while healthcare employment has kept pace with population growth in New Hanover and Pender counties, it lags in Brunswick County. “Once you go below the metro level and you decompose the three counties that make up the Wilmington Metro,” Guettabi said, “it becomes fairly clear that Brunswick is the standout. And not only that, but clearly the growth there is fully domestic migration and largely retiree-driven migrants.” Using data from the Centers for Medicare and Medicaid Services on per-capita healthcare spending among age groups, Guettabi estimates that adults aged 65 and older demand 2.44 times the healthcare of working-age adults. “The share of the population in Brunswick County that’s over the age of 65 is 33%,” Guettabi said, “which is so much higher than the average share of people over the age of 65 within the state or within the country.” The report emphasizes that Brunswick County is the “strongest candidate” for new healthcare investment, adding that patient discharge records show Brunswick residents rely heavily on facilities in New Hanover County for inpatient care. “Investments in Brunswick County would not only meet the demand for those residents, but it would also relieve pressure for New Hanover County residents,” Guettabi said. Laurie Whalin, president of the Novant Health Coastal Region, told the Business Journal Friday that the provider plans to expand services at Novant Health Brunswick Medical Center, in addition to other investments in the area. In April, the state granted conditional approval to both Novant Health and Columbus Regional Healthcare System to build new hospitals, just miles apart, on either side of the Columbus County and Brunswick County borders. Columbus Regional’s $214 million 30-bed hospital would be located at the former Acme-Delco Middle School in Delco, according to the application. The project’s approved timetable has construction slated to finish in May 2029, with the hospital open for service by October 2029. The Whiteville-based provider, which Atrium Health manages, broke ground on an Advanced Care facility in December 2025 and operates four specialty clinics in Leland. Meanwhile, Novant Health’s proposed $251 million 20-bed hospital would be built just miles from Columbus Regional’s proposed hospital, near the Compass Pointe community in Leland. The provider estimates the hospital will open by 2030. State officials also approved Novant Health in March to build a freestanding emergency department in Carolina Shores, near U.S. 17. The project is estimated to cost $24 million, according to the application, and will operate under the Novant Health Brunswick Medical Center license. Additionally, Novant Health’s 16,000-square-foot ambulatory surgery center is slated to open in Leland by year’s end, officials said.
Nearly 300,000 Louisianans on Medicaid must soon choose a new plan. Here’s what to know.
People who have the Healthy Blue Medicaid plan in Louisiana will soon have to choose a new insurer after parent company Elevance Health chose to leave the state’s Medicaid market.
A Closer Look at the $50 Billion Rural Health Transformation Program
The 2025 budget reconciliation created the Rural Health Transformation Program, which will award $50 billion in state grants over a five-year period. This brief provides an overview of the program, describing its structure, how funds can be used, how funding compares to Medicaid spending reductions in the reconciliation law, and how the funds are being distributed across and within states.
Louisiana prepares to pay more to its remaining private Medicaid plans
The Louisiana Department of Health has proposed new, larger contract extensions for the four health insurance companies that will remain a part of the Medicaid program. The deals were shared with state lawmakers Thursday and will follow the exit of two private companies that are leaving the state — and up to 580,000 enrollees — by the end of the year.
Cost-Saving Medicaid Meal Deliveries Threatened by Cuts, Policy Uncertainty
An experiment to provide meals to some Medicaid recipients shows food can be cost-effective medicine. But even as federal officials tout the power of nutrition, Medicaid budget cuts could lead states to think twice about covering healthy food for sick residents. One has already reconsidered.