SCROLL NEWS / DISCOVERY
Search headlines
Find the stories shaping the conversation.
Results for " enrollment " 368 found 🔀 AI-powered Shuffle
Provost announces leadership appointments, promotions
Eric Barker has been named senior vice president for health affairs and Preeti Sivasankar as interim dean of the College of Pharmacy, two appointments taking effect Oct. 1. Cherise Hall is now senior vice provost for enrollment and student strategy, a promotion that took effect July 1.
UHart to cut $7M, boost faculty teaching loads as enrollment slides
The University of Hartford is cutting $7 million from its $187 million budget as declining undergraduate enrollment pressures revenue in West Hartford.
Iowa public universities see enrollment bump, but challenges loom
Undergraduate enrollment at Iowa’s three state universities increased slightly this fall, a trend that is unlikely to continue because of the anticipated decline in the traditional pool of college-age students. The slight bump in enrollment is partially due to improved retention rates, targeted tuition incentives for out-of-state students and curriculum aligned to workforce needs, university…
University of South Dakota -- Sioux Falls sees enrollment growth in business, healthcare programs
“The future workforce needs affordable access to college, and the city needs a public university. USD – Sioux Falls fills that role, especially for the next generation of business and healthcare leaders.”
University of Phoenix opens enrollment for three-year Bachelor of Science in Criminal Justice Administration
/PRNewswire/ -- University of Phoenix announces that enrollment is now open for its three-year Bachelor of Science in Criminal Justice Administration, a...
University of Phoenix opens enrollment for three-year Bachelor of Science in Criminal Justice Administration
University of Phoenix announces that enrollment is now open for its three-year Bachelor of Science in Criminal Justice Administration, a 90-credit online bachelor's degree pathway designed for students with at least three years of work experience in criminal justice or security.
What Health Equity Champions Can Learn from Pharmaceutical Sales
The same mechanics can now help people meet new Medicaid work requirements or exemptions, increase referrals to evidence-based health interventions, and dramatically increase enrollment in vital programs that improve health outcomes and reduce inequities.
Electrical Trade Attracts New Workers; Small Business Optimism Dips in August
WARREN, Ohio – Women are finding a growing place in the electrical trades, with apprenticeship programs in the Mahoning Valley reporting increased interest and enrollment. Young apprentices are gaining experience across residential, commercial and industrial work while preparing for careers in the field.
National Alliance: Hospice, Home Health Moratoria Curbing Access to Care
The U.S. Centers for Medicare & Medicaid Services’ (CMS) six-month moratoria on home health and hospice Medicare enrollment are adversely
A-State sets fall enrollment record
Arkansas State University has set another fall enrollment record, reaching 18,775 students as continued growth among Arkansas freshmen, improved student retention, and rising graduate enrollment helped push the university past...
A-State sets fall enrollment record
Arkansas State University has set another fall enrollment record, reaching 18,775 students as continued growth among Arkansas freshmen, improved student retention, and rising graduate enrollment helped push the university past...
MORNING BUSINESS REPORT: Record number of 401(K) millionaires, colleges facing enrollment cliff
Jane King has these stories and more for your Tuesday Morning Business Report from the New York Stock Exchange.
Rising tuition, enrollment pressures fuel CT colleges’ push for three-year degrees
Connecticut colleges including Quinnipiac are developing three-year, 90-credit degrees to lower costs and attract students, but state rules block them.
WCU-Mission Health partnership boosts nursing enrollment, aims to ease western NC shortage
Western Carolina University is expanding its nursing education capacity through an academic partnership with Mission Health.
Business calendar
ENTREPRENEURSHIP TRAINING: The Literacy Alliance has opened enrollment for the next cohort of its Integrated Education and Training Entrepreneurship program. The free program is designed for community members who are
San Antonio charter schools partner as enrollment declines loom
The School of Science and Technology is bringing Compass Rose Public Schools under its umbrella.
Healthcare Partnership Expands Nursing Capacity by 77.5%
More students are enrolling in nursing programs at Cape Fear Community College (CFCC) and UNCW, thanks to a community partnership funded by The Endowment. Nursing enrollment capacity has increased by 77.5% since 2023, according to the New Hanover Healthcare Career Partnership (HCP), representing a significant step toward addressing healthcare workforce shortages in New Hanover County and southeastern North Carolina.
Arizonans bracing for more Medicaid coverage changes
Arizona’s Medicaid system, already facing declining enrollment, is bracing for impacts from H.R. 1.
As SU enrollment drops, international students say U.S. politics spark concern
Law, a political science professor, said it’s difficult to secure admission to a U.S. university as students worry about federal visa changes.
Imagination Library sees enrollment boost after Parton's death
In the week since country music artist Dolly Parton's death, her namesake children's literacy program has seen an influx of support in her memory.
August Monthly Review: ChatGPT In Epic
Death, taxes, another frontier lab healthcare launch inspiring truly insane LinkedIn takes. As much as I want to stay away, I repeatedly am the crewman unplugging his ears whenever we pass these sirens. So it’s not the first and probably not the last time we dial up the typewriter rather than tie ourselves to the mast. The full blow-by-blow timeline: Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe The End of the Standalone PHR (Jan 8): ChatGPT Health arrives for consumers, at the time powered by b.well. I was bullish on the approach in that the best way for the PHR to finally solve distribution was to meet consumers were they already are (i.e. When Horizontal Meets Healthcare (Jan 9): OpenAI for Healthcare puts out the shingle for enterprises, with SharePoint ingestion standing in for the EHR integration the product actually needed. Another One: Anthropic’s Healthcare Debut (Jan 16): Claude's version, on HealthEx rails instead of b.well, with Agent Skills for FHIR development as the one true vertical-specific investment. ChatGPT for Clinicians: The Trap Sprung (Apr 24): OpenAI filled in the missing GTM middle with a free product for verified clinicians, effectively peeling the enterprise wrapper off ChatGPT for Healthcare and taking the PLG fight directly to OpenEvidence. OpenAI’s Second Attempt at Health (Jul 31): a relaunch of their patient specific app, now branded Health in ChatGPT, where the privacy partition came out, the connectors thinned, and b.well disappeared in favor of first-party FHIR work against a smaller network Beyond a Shingle So what was announced now? Today, we’re introducing a new electronic health record integration that brings authorized patient context from Epic into ChatGPT for Healthcare, along with the Healthcare Public Data plugin for direct, structured access to official healthcare datasets like PubMed, DailyMed, and CMS Coverage. Together, these capabilities bring ChatGPT closer to the systems and sources healthcare teams trust, while supporting the controls and compliance healthcare work requires. The core portfolio is unchanged from prior announcements we delineated and discussed (aside from the relaunch of patient-facing). Since trade publications still seem to be confusing them by using the wrong names: Enterprise sales motion: ChatGPT for Healthcare Protecting their core product / PLG: ChatGPT for Clinicians Consumer/patient-facing product: Health in ChatGPT So really, this is a feature release (specifically for ChatGPT for Healthcare when it comes to EHR integration). What’s cool about it, though, is that we are moving beyond just putting out a shingle. Everything in the January enterprise launch was horizontalizable: Horizontal tech companies thus generally start verticalization with their “putting out a shingle phase”. Telling the world you’re open for business as a horizontal tech company reliably attracts early inbound interest from buyers who are already trying to force-fit horizontal tools into domain-specific workflows and are eager for any signal that the vendor intends to support their use case more directly. Nothing was really vertical specific, which is exactly what you'd expect from the ultimate hypergrowth horizontal company dipping their toes into specific industries. But eventually you have to stop changing the sign on the door and start changing the product. Can you guess where the horizontal product was going to run out of road? This is the core dilemma writ large: verticalization requires differentiation, while scale economics of consumer and horizontal push toward unification. I’ve buried the lede so deep here it will be painful to some readers, but what should be shocking to no one is that my perspective is that EHR integration is the only path that meaningfully resolves this tension for ChatGPT for Healthcare. Integration with Microsoft Sharepoint is fine, but it is categorically insufficient for any product that hopes to influence clinical decision-making. SMART Money Well here we are, eight months later! Real vertical investment has begun, which surprised a few people. One friend in the industry messaged me: “Absolutely no way Epic gave ChatGPT API access.” Looking forensically at the announcements, the integration is notably read-only across appointment notes, laboratory results, medications, and specialist documentation. So while I’m not a betting man, I'd wager the house this is a SMART on FHIR launch: That sounds a lot like USCDI! The recommended path for the workflow they outline would be SMART on FHIR Their Health AI lead’s post is evocative of both standalone and EHR launch SMART, which another termed “ChartGPT” and “EHR Plugin” The implementation burden for SMART on FHIR is the lowest of the available integrative paths This is the team who literally did patient-facing SMART on FHIR with Epic last month Most importantly, if you’re a horizontal company, you generally still haven’t taken the full plunge and thus (overly) value reusability. SMART on FHIR is the logical compromise: healthcare-specific enough to matter, but standardized enough to reuse. Nobody Asked Judy Another friend asked “I thought they had to go to each health system, or did they go direct to Epic and now health systems opt in?” Given the trust paradigms in healthcare, this functionally cannot be Epic hoovering up all the data for OpenAI and shoving ChatGPT in their customers’ faces (or they would revolt). However, I do believe the aforementioned terrible coverage by TechCrunch and other outlets is probably responsible for that question, given the 325 million reference. When using FHIR as a business associate to an Epic customer, there is no EHR gatekeeping to speak of, as that isn’t how fhir.epic.com works: You register an app You pick your APIs You test against the sandbox APIs You list as “Ready for Production” Hospitals pick your app You test and go live with them Bluntly, nobody had to say yes or no in Verona (nor were they given the chance). Vendor Services (their next developer tier up that I doubt OpenAI is using quite yet in this initial release) certainly has contractual paperwork that some resent, but even there, the twin pressures of mounting antitrust and information blocking make outright gatekeeping increasingly fraught. My friend’s sentiment is, to me, representative of a broader industry neurosis, perhaps a sort of scar tissue of prior eras: people assume the gate is still there and never actually try the door. There are certainly other ways Epic (and any EHR) can put its thumb on the scale, but they are not so dumb as to stand in front of a federally mandated API and play bouncer at this exact moment in time. So I think they can and probably should go deeper, as this release is at best parity and at worst behind vertical-specific competition. OpenEvidence did a basic SMART launch with Sutter Health in February, allowing for more convenient evidence search by providers. They then add patient-context (the equivalent SMART on FHIR flow to what we see here) when Cedars-Sinai went enterprise-wide in May. UpToDate has four distinct applications across deeper workflows like patient engagement listed in Epic Showroom and announced a partnership with Epic to power Art at UGM Abridge and other ambient scribes have invested deeply into the deepest bidirectional clinical copilot workflow with integrations well beyond SMART on FHIR. In that light, the “Who is OpenAI primarily targeting here?” is clear. This release brings them into striking distance of OpenEvidence, but not the others quite yet. They are the only one of the three you can reach without building something truly Epic-specific. When will they go further? Competition is a great motivator to overcome the horizontal demons and start building things that can’t be reused: not across industries, not across EHRs, maybe not past the customer you built them for. That’s the price of actually verticalizing. The question is if and when OpenAI will be willing to pay it. Month in Review Here is the monthly review. As a reminder, this is a regular round-up of the month’s posts and other content to surface things you may have missed across regulation, litigation, interoperability, and beyond. AI assistance is used in these bullet summaries so I can focus on articles. Articles Published: None this month Video Content: The Information Exchange: Standards-based Thruple Edition (Aug 14): Back to school for us too, with Brad reporting in from the CMS Health Tech Ecosystem’s one year anniversary in DC. We get into the January CMS-0057 deadline, the fall rulemaking reading list, and why enrollment still keeps most apps off FHIR. The Information Exchange: Epic Dúnadan Edition (Aug 25): A UGM roundup with Ryan Brickner joining for the first time to check our takes against what the building actually thinks. Rangers, Ergo sitting on top of EHI, and a down-market lineup that needs some cuts. Regulatory: Stacked Deck, Bad Hand (Aug 05): ONC’s website refresh took the entire HIT Policy Committee record with it, so I rebuilt the archive and went looking for the regulatory capture story everyone assumes is buried in there. Stacking the deck and winning the hand turn out to be very different things. The Sixth Generation of Patient Access (Aug 19): A quick catalog of the five generations of patient access we’ve layered on since HIPAA, and the two candidates now competing to be the sixth. One is planned. The other is the market routing around the plan entirely. Court cases: Three Cases Walk Into a Docket (Aug 06): Two surprise settlements cleared the board in a single week, and then Judge Maddox dropped ninety-four pages on Vyne v. Henry Schein. The sleeper is a DMCA holding that makes direct-to-database a considerably riskier business model. Epic v. Health Gorilla: Into the MDL (Aug 10): Nine class actions are headed to Miami, and the Panel signaled it wants to bring the case that spawned them along too. That would leave Epic arguing the requests were obviously fraudulent in one courtroom and unknowable in the other. Amazon v. Perplexity: Agents Are Legalized! (Aug 11): The Ninth Circuit vacated the injunction against Comet, holding that the user is the one accessing the servers rather than the company that built the agent. A real win for agentic access, and a much narrower one than the headline suggests. Veeva v. Epic: Come At Me, Bro (Aug 26): Epic’s response brief wants the dismissal affirmed and, unusually, wants the opinion published as precedent. Buried in it is Epic’s own description of what its non-competes actually prohibit, which current and former employees should read closely. EHRs: The Contract Epic Would Never Sign Today (Aug 04): A 1999 SEC exhibit catches Epic licensing nearly its entire product line, Tapestry included, to the company that became TriZetto. The marketing services menu attached to it is the part that will make you blink. Forecast from Verona (Aug 07): The Epic Almanac makes one argument six different ways: the AI is only as good as the networks behind it. Emmie headlines, Art’s context stack is the most ambitious part, and Penny finally gets an autonomous coding date on the calendar. Works With Epic MyChart (Aug 17): Epic’s first new Showroom category since the death of Workshop certifies hardware instead of software, badge on the box and all. Made for iPhone, but for blood pressure cuffs, and rough news for anyone selling the RPM stack sitting in between. UGM Hot Takes 2026 (Aug 20): Everyone else covered the AI announcements, so I went after Savvy deleting the payment gateway, Rangers as Boost with the timer removed, and a down-market lineup with too many entries. Plus the Health Grid tidbits I cannot help myself on. MyChart Central Grows Up (Aug 24): Device data and Emmie turn Epic’s identity hub into a full consumer platform, which is both a logical answer to ChatGPT and a bit of a mistake. It also happens to be the best scraping target Epic has ever shipped. Industry Analysis: The Wrong Yardstick (Aug 12): Vertical software keeps getting judged against Superhuman and Notion, which is the wrong bar entirely. Your user is comparing your product to a whiteboard and forty phone calls before lunch. Primitives vs. Abstractions (Aug 27): Developers want building blocks, systems of record prefer to hand out business logic, and both sides have a real case. There’s no test from the outside that separates the engineering reason from the competitive one, which is why this keeps ending up in court. Cross-industry Comparisons: The Two Kinds of Platform Power (Aug 18): Attention power and record power are different problems that keep getting handed the same regulatory toolkit. Congress’s latest swing at Big Tech shows both what’s possible and where it falls apart. The Dogs of (Platform) War (Aug 21): A CourtListener alert turned up a property management fight with healthcare’s exact shape and none of the Cures Act. Shell prospects, ghost accounts, a notetaker bot that came back to haunt someone, and a lawyer arguing both sides of the same theory in two states. Fractals All the Way Down (Aug 31): Yardi dominates property management right up until you zoom into one segment, where AppFolio owns it outright and Yardi doesn’t appear at all. Where you draw the line around a B2B software market is about to decide an awful lot of cases. Other News: If Judy Had the Courage (Aug 13): A short eulogy for the era when software was allowed to look insane: WinAMP, bold colors, and everything the grey chatbot era has taken from us. External Media: Portland Monthly Health Tech Meetup: Erin O’Brien channeled my own feelings - maybe it’s just because it’s August and beautiful, but the monthly edition of the PDX Health community meetup was a ripper. Make sure to reach out if interested to join for the next one. STAT’s Coverage of Epic This Month: Brittany Trang of STAT did a fantastic job of breaking the FTC investigation that’s been lurking, as well as UGM related coverage, so I had to give her her wish of a meme. Fall Conferences: I’m pumped to be kicking off my fall conference season in NYC at Nabla Accelerate next month, which Chrissy provided the link to apply for. Here’s the rest of my schedule in case you want to meet up: Commonwell (Redwood Shores, CA): Oct 13-14 Open@Epic (Madison, WI): Oct 21-22 eHealthExchange (Austin, TX): Oct 27 Sequoia Project (Austin, TX): Oct 28-29 HLTH (Vegas): Nov 15-18 RSNA (Chicago): Nov 29-Dec 3 Posts I Liked: HTI-6 Should Unbundle API Certification: Josh Mandel makes the case that HTI-6 should split (g)(10) into separate authorization and data certifications, so a PACS or a genomics platform can certify only the role it actually performs. Imaging is the urgent example, but the structure solves a much bigger problem. On implementing ePrior Auth with Epic: Scott Rossignol’s field notes from a live ePrior Auth build on Epic, including the two app registrations nobody warns you about and the CPT mapping problem waiting at the end. CMS-0057 implementations are going to be such a beast. Healthcare point solutions are starting to look a lot like streaming services: Spencer Dorn runs the cable-to-streaming arc against health IT and lands squarely on the bundling half of the cycle. Bundling can be good! It can also be bad! Life is nuanced. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
NWACC’s academic-credit enrollment increases 1.8% from 2025
NorthWest Arkansas Community College said Monday (Aug. 31) that its enrollment has exceeded 12,000 total students for the first time. The Bentonville-based two-year college released 11th-day figures, showing enrollment increased...
Louisiana takes a step toward adopting Medicaid work requirements
Louisiana’s proposed work requirements for Medicaid enrollment largely adhere to the new guidelines Congress and President Donald Trump laid out last year. The new state regulations are expected to go into effect for Medicaid recipients in January.
University Computer Science department remains hopeful in the age of AI
According to National Student Clearinghouse, undergraduate enrollment in traditional information and computer science degrees at four-year institutions fell by 8.1 percent in the fall of 2025 compared to fall 2024.
AHA recommends changes to home health payments, provider enrollment provisions in CY 2027 proposed rule
The AHA provided comments to the Centers for Medicare & Medicaid Services Aug. 28 on its calendar year 2027 home health prospective payment system proposed rule, focusing on two specific concerns.
How Obamacare changed healthcare
Affordable Care Act enrollment is plummeting. What happened?
Once Seen as a Sure Thing, Computer Science Has Lost 53,000 Majors
But engineering and health professions saw big enrollment gains last year, according to new data.
New faculty bring experience to Dordt’s growing business, engineering…
Dordt University has welcomed three new faculty members in business and engineering , adding expertise that will strengthen two academic programs that have seen enrollment growth in recent years. Over the past decade, Dordt's engineering program has grown by nearly one-third, while enrollment in business…
Healthcare saving hacks to consider before November's open enrollment
As insurance costs continue to rise, coupled with recent changes to the Affordable Care Act, some of the subsidies people count on have been rescinded. So how do you save money on healthcare?
As students head back to school, some may be on sports teams with players from other districts
Michael Bisson, who runs the Interscholastic Division at the Maine Principals Association, said that as enrollments have declined, schools have had to work together to field full teams.
NH's Business: Medicaid enrollment across New Hampshire
Fred Kocher sits down with Jessica Williams with the NH Fiscal Policy Institute to talk about the changes we could see to Medicaid within the Granite State in the coming years.
Haywood County residents rethink health care coverage after premium increase
Nearly nine months after marketplace health care plans increased in double digits, data show that Affordable Care Act enrollment in Haywood County decreased.
Enrollment in SNAP grocery aid is dropping faster than expected
Enrollment in the biggest federally funded food aid program in the U.S. dropped by more than 13% in a 12-month span
Enrollment in SNAP grocery aid is dropping faster than expected
Enrollment in the biggest federally funded food aid program in the U.S. dropped by more than 13% in a 12-month span
Deadlock on steep health insurance cost increases for school staffsNJ Spotlight News
Without a decision on 34% higher rates, a New Jersey commission pushes a vote to next month, while open enrollment nears
Action 9 helps consumer get tax refund after double health insurance enrollment
A woman discovered she owed thousands of dollars for two health insurance policies after switching to private coverage.
Pennycuick Introduces Measure to Stem Fraud in State Health Insurance Program
Today, Senator Tracy Pennycuick (R-24th) introduced legislation to address improper enrollment, waste, and fraud in Pennsylvania’s Health Insurance Exchange Authority called Pennie.
Florida lost 450,000 ACA enrollees in 2026 as premiums rose an average of 37% nationally, new data shows
ACA enrollments in Florida dropped in 2026, but the decrease was smaller than anticipated.
Elite science high schools boost enrollment as AI, chip demand grows
South Korea's elite science high schools will admit a record number of students next year, expanding opportunities for young science talent at a time when unive
CUNY’s Computer Science Growing Pains
After a decade-long enrollment boom, CUNY faces faculty shortages and pressure to prepare students in the field for an AI-driven job market.
Opinion: Cleveland’s enrollment cliff is becoming a talent cliff
"Demography created the enrollment cliff. Immigration policy should not turn it into a talent cliff," attorney Richard T. Herman writes.
UNT Health Fort Worth expects nearly flat revenue, higher spending in 2027
The university expects a small revenue increase and raises expenditures $8.2 million as it pursues enrollment, research and clinical growth.
At colleges, the AI boom means everyone wants to dabble in computer science
Hiring for entry-level software developers has slowed, and college enrollment in computer science is declining. However, interest in artificial intelligence is growing among students from non-tech majors. Schools like VCU
Here’s how a summertime health plan review can pay off during fall open enrollment
Learn key timelines, evaluation tips, and important documents to prepare for health insurance enrollment to avoid coverage gaps in 2027.
UVA School of Data Science launches assured enrollment program for 2026-2027 academic year
UVA School of Data Science has launched a new pilot program designed to reduce the application burden on students interested in the data science major.
MDHHS Issues Mental Health Framework Provider Enrollment and Billing Updates
The Michigan Department of Health and Human Services (MDHHS) recently released a final policy bulletin updating enrollment, supervision and billing requirements under the state’s Mental Health Framework.
Computer science enrollment is plunging, but AI is taking over the rest of the college campus as it reshapes how students learn and work
Universities like Colby College are increasingly integrating AI into disciplines not related to computer science.
At colleges, the AI boom means everyone wants to dabble in computer science
As enrollment in traditional computer science programs declines, universities across the United States are rapidly expanding artificial intelligence education to include students from diverse majors like music and psychology.
As computer science enrollments drop, artificial intelligence classes fill up
Hiring for entry-level software developers has slowed, and college enrollment in computer science is declining
The computer science major is dying so that the AI literacy minor can be born: ‘we have to democratize it’
Computer science enrollment is falling even as psych, music and biology majors rush into AI minors — colleges are racing to keep up with employer demand.
Debt Digest | Federal Debt is a Health Care Problem
Welcome David Ditch to the Debt Dispatch! We are pleased to announce a new regular contributor: David Ditch will be joining the Cato Institute as a Policy Analyst for Budget and Entitlement Policy later this week. David has more than a decade of experience in fiscal policy issues, with a particular focus on federal spending. He previously worked at the Senate Budget Committee, the Heritage Foundation, and the Economic Policy Innovation Center. David’s areas of expertise include appropriations, transportation, agriculture, federalism, grantmaking, and policy options for deficit reduction. Originally from the Rochester, N.Y. area, David has a BA in Economics and Political Science from the University of Rochester and a MA in Political Management from George Washington University. David currently lives in Arlington, VA. You may have enjoyed his earlier guest posts: CBO: New Highway Bill Has More Spending, Taxes, and Deficits Trump Administration’s Proposed Changes to Federal Grants Highlight Problems of Big Government Here are this week’s reading links and fiscal facts: The federal debt is largely a health care problem. In a new report, the Congressional Budget Office and Joint Committee on Taxation find that “In 2026, federal subsidies for health insurance, net of related payments to the government, are projected to equal $2.4 trillion, or 7.4 percent of gross domestic product (GDP). In CBO and JCT’s projections, those subsidies grow by 65 percent, reaching $3.9 trillion, or 8.4 percent of GDP, in 2036. Subsidies for Medicare contribute most to that overall growth, increasing by $900 billion. Over the entire 2026–2036 period, federal subsidies for health insurance total $33.6 trillion.” Cato’s Michael Cannon emphasizes, “The long-term federal debt problem is a health care problem. […] Only two categories of federal outlays will grow faster than gross domestic product (GDP): health care subsidies and interest payments on the debt. The former is, therefore, the primary driver of the latter.” The bond market fears deficits, not the loss of tariff revenue. Responding to a New York Times essay claiming tariff revenue has grown too important for a future administration to unwind, Cato’s Kyle Handley argues: “Bond investors are not attached to customs duties as a line item revenue source. They care about the government’s overall fiscal position.” He continues, “tariff revenue is a side hustle. And the Trump administration has already promised to dole out the funds through schemes like tariff dividend rebates, farm subsidies, and pay-fors on tax cuts or other spending.” Furthermore, “tariff revenue is simply not large enough to transform the government’s fiscal trajectory.” Take net interest for example: it “reached $970 billion in fiscal year 2025, absorbing 18.5 percent of federal receipts. Customs duties accounted for only 3.7 percent of receipts—and that was before refunds (see Figure 2).” Handley concludes, “The real bond-market concern is a large and growing interest bill, persistent budget deficits, and a political system unwilling to bring spending and revenue into alignment.” Medicare’s spending growth is driven by more volume and utilization. A Congressional Research Service report finds that Medicare spending “grew at an average annual rate of 7.3%” from 1985 through 2025, and the trustees project health care expenditures will keep rising “faster than gross domestic product (GDP) in most future years.” Citing CBO, the report attributes Medicare’s projected 2026–2036 spending growth to “23% from higher enrollment, 31% from inflation, and 47% from the growth of inflation-adjusted spending per beneficiary. In other words**, the largest single driver of Medicare spending growth during the next decade is expected to be higher volume and intensity of health care services.”** Boccia and Thakur explain: “as the economy grows, Medicare spending tends to grow at least as fast—and often faster—because the program automatically pays the bill for more and more healthcare consumption by seniors, even as prices rise.” The Fed has little control over market interest rates. Cato’s Jai Kedia documents that the Fed has held its rate target steady since December, yet “nearly every rate Americans actually borrow at has climbed over the same stretch.” Kedia continues, “The Fed did nothing, and the cost of credit went up anyway. […] Markets spent these months repricing macroeconomic events such as sticky core inflation, a volatile energy market driven by the conflict in the Middle East, and global trade disrupted by tariffs, among others. None of that required a policy change to show up in borrowing costs because markets, not the FOMC, set prices.” He concludes, “Accurately priced borrowing rates will come from credible disinflation and disciplined budgets and from a Fed content to follow the economy rather than pretend it leads it.” Nearly half of US farm income comes from taxpayers. Former Reagan OMB director David Stockman notes that “in the most recently completed full year (FY 2025) farmer incomes in the US totaled $97.8 billion, but fully 42.7% or $41.8 billion of that amount came from taxpayers, not the marketplace. Nor is this some kind of one-year aberration. If we look at the most recent decade as a whole, total farm income posted at nearly $708 billion, but, as indicated, fully $322 billion or 45% of this came compliments of US taxpayers.” Cato’s Chris Edwards explains why so little of that income is market-earned: “Farmers are businesspeople, but the government shields them from just about every type of weather and market risk. Furthermore, just about every part of the agricultural industry is subsidized, including insurance, loans, marketing, research, export sales, and land improvements.” The Debt Dispatch is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
More Than Numbers: Inside Indiana's Medicaid Enrollment Decline
Three years after enrollment peaked during the pandemic, Indiana's Medicaid rolls continue to decline as eligibility reviews reshape the program.
More Than Numbers: Inside Indiana's Medicaid Enrollment Decline
Three years after enrollment peaked during the pandemic, Indiana's Medicaid rolls continue to decline as eligibility reviews reshape the program.
Kennedy, Oz Contend Fraud Crackdown, Not Skyrocketing Prices, Led Millions To Leave Obamacare
Rising premiums forced many people in Affordable Care Act plans to give up their coverage. But the Trump administration claims a huge drop in enrollment is almost entirely due to its fraud crackdown.
At colleges, the AI boom means everyone wants to dabble in computer science
Hiring for entry-level software developers has slowed, and college enrollment in computer science is declining.
College computer science majors are down. AI for everyone else is up
Hiring for entry-level software developers has slowed, and college enrollment in computer science is declining.
Push for NY Health Act continues amid Medicaid anniversary
Ursula Rozum, of Citizen Action New York, joined Capital Tonight.
The Stakes for Wake
Peter Rodriguez took over as the school’s 15th president as it seeks to expand enrollment and navigates the NIL era.
NYS health commissioner visits Syracuse, talks about WIC, vaccinations and cyclosporiasis
SYRACUSE, N.Y. (WSYR) — The WIC program has been providing proper nutrition in the region for nearly 50 years. Due to rising enrollment, the state’s health commissioner, James McDonald,…
Computer Science Enrollment Now Declining Under Dark Cloud of AI
Computer science enrollment has declined for the first time in nearly twenty years as AI is used to automate coding jobs.
Northern Michigan University banks on new business school, housing to help boost enrollment
The university in Marquette is undertaking several initiatives to help reverse a decade-plus enrollment slide.
Facing Political Attack and Falling Enrollment, Colleges Take the Fight to … Each Other
As Americans have fewer children, competition is intensifying among institutions and recruiters for a dwindling pool of students.
Amid budget deficit, political science department cuts TAs, shrinks course capacities
UCLA’s political science department cut teaching assistant and reader positions in response to a budget deficit, faculty said. Each teaching assistant position cut by the department reduces enrollment capacity in political science courses by roughly 60 students, said Margaret Peters, political science professor and vice chair for graduate studies.
Computer science enrollment fell after ChatGPT's rise, economist says
A Stanford economist says AI may be reshaping students' choices as computer science enrollment slows.
Marketplace Insurance Enrollment Dashboard
Explore Kansas marketplace health insurance enrollment by county, district and region to better understand access statewide.
The Directors: Two leaders in data science have a warp speed vision for AI, with cancer clinical trials leading the way Knudsen and Thoelke: “It’s actually solving for bottlenecks and challenges that we’ve been unable to overcome for so long”
The United States has a translation problem. Scientific breakthroughs in oncology are accelerating, but clinical trial infrastructure hasn’t kept pace. The solution: Speed up clinical trial enrollment by using AI to reduce costs and eliminate bureaucratic red tape. Tasks that ordinarily require hours of manual work for each patient in a single study can now […]
ACA and Medicaid changes hang over health earnings
Insurers and health systems already are feeling the effects of significant enrollment drops and changes in who's paying for care.
Google temporarily offers open Pixel Care+ enrollment for Pixel 9 and 10
Google today announced a limited-time Pixel Care+ open enrollment period for existing Pixel 9 and 10 owners.
Nevada sees drop in health insurance marketplace enrollment as subsidies lapse
Higher premiums are causing thousands of Nevadans to drop their Affordable Care Act coverage, raising concerns about healthcare affordability.
Ohio tops the nation in ACA enrollment drop
Expiring subsidies led Ohio to lose 32.4% of its enrollment between February 2025 and 2026.
Where Obamacare enrollment is plummeting
Ohio, Oklahoma, Arizona, South Carolina and Minnesota have sustained some of the deepest losses.
Obamacare rolls sharply declined in many states over past year, data shows
New federal data reveals the first 50-state look at a steep drop in Affordable Care Act enrollment after enhanced subsidies expired in January
Obamacare rolls shrank dramatically in many states over the past year, new federal data shows
Ohio and Oklahoma each lost nearly one-third of their enrollees over the past year.
Affordable Care Act enrollment shrank dramatically in many states over the past year, new federal data shows
Ohio and Oklahoma each lost nearly one-third of enrollees, according to new federal data that provides the first complete 50-state breakdown of sharp enrollment declines following the expiration of enhanced subsidies.
Obamacare rolls shrank dramatically in many states over the past year, new federal data shows
New federal data reveals the first 50-state look at a steep drop in Affordable Care Act enrollment after enhanced subsidies expired in January.
College Merger Sparks Athletics Lawsuit Amid Enrollment Cliff
As some colleges merge to better handle a new higher education landscape with fewer students—and thus diminished tuition, dorm and meal plan revenue—along with less federal money for research, greater restrictions on international student visas and more restrictive federal student loan caps, the athletics implications could prove confounding and litigious. Enter: a new lawsuit brought …
As ACA enrollment falls by millions, Trump administration and policy gurus disagree on why
Affordable Care Act marketplace enrollment has declined by 3 million people. The Trump administration points to fraud controls. Policy experts point to cost.
The Business Model of Colleges Is Broken. It’s About to Get Worse
Declining enrollment and Trump’s policies are “breaking the business model that built the modern higher education system,” writes Jeffrey Selingo.
CMS proposes updates to home health payments for CY 2027, updates to provider enrollment and quality and value-based purchasing programs
The Centers for Medicare & Medicaid Services July 1 issued its calendar year 2027 proposed rule for the home health prospective payment system. The rule proposes a 2.4% update, which includes a 3.1% market basket update, reduced by a 1.0 percentage point cut for productivity, as well as an 0.3 percentage point increase related to outlier payments. In addition, the agency proposes a temporary cut of 3.0% that it states is necessary to achieve budget-neutral implementation of the Patient-driven Groupings Model.
Enrollment in Affordable Care Act health plans drops by 3M, HHS data reveals
The Trump administration said the reduction can be attributed to a cleanup of fraud, waste and abuse, but the real reason extends back to enhanced subsidies put in place during the COVID-19 pandemic.
Nearly 3 Million Fewer People Secured Marketplace Coverage After Republican Health Care Cuts, New Data Show
This is the largest drop in effectuated enrollment since the ACA marketplaces were established.
About 3 million people have dropped Obamacare health coverage after subsidies expire and costs rise
The Department of Health and Human Services suggests the 13% drop is due to a federal crackdown on fraudulent enrollmentut, but health analysts believe it's more likely related to the Jan. 1 expiration of federal subsidies.
New data shows consumers dropped health coverage after Republicans let subsidies expire
Republican officials don’t deny the accuracy of the data, though they’ve repeatedly tried to argue that the reduction is a positive development. It’s not.
Millions drop Obamacare health coverage after subsidies expire and costs rise
Health analysts say the drop in enrollment was likely related to the Jan. 1 expiration of federal subsidies, which caused a surge in plan costs that resulted in many people being unable to pay their premiums.
Texas Mental Health Program Reveals 103% Increase in Veteran Enrollment
Emory University treatment is expanding throughout the state at no cost, but many veterans remain unaware of their services.
Conor Sen: This demographic cliff is reshaping universities. Cities are next
An undergraduate enrollment shortfall at Syracuse University is the latest sign that long-forecast demographic pressures are taking their toll on large and well-known institutions, too. Syracuse laid blame on the
Millions drop Obamacare health coverage after subsidies expire and costs rise
NEW YORK — About 3 million fewer people in the United States had Affordable Care Act health insurance plans in February compared with the same time...
5 states targeting Medicaid behavioral health enrollment amid fraud concerns
At least five states have taken steps in 2026 to restrict new Medicaid behavioral health provider enrollments as stakeholders seek to curb fraud, waste and abuse while strengthening oversight of high-risk services. The developments come as the Trump administration aims to crack down on healthcare fraud. On June 25, the Justice Department charged 455 people, […]
EARLY CHILDHOOD EDUCATION ENDOWMENT ADVISORY BOARD APPROVES HEALTH INSURANCE SUBISIDY PROGRAM FOR EARLY CHILDHOOD EDUCATORS
EARLY CHILDHOOD EDUCATION ENDOWMENT ADVISORY BOARD APPROVES HEALTH INSURANCE SUBSIDY PROGRAM FOR EARLY CHILDHOOD EDUCATORS FOR IMMEDIATE RELEASE June 25, 2026 The Early Childhood Education Endowment’s Advisory Board voted on Tuesday to approve the new early childhood educator health insurance subsidy program beginning in 2027 and available through Access Health CT open enrollment starting October 23, 2026. Established into law…
Affordability, not fraud, is why fewer Americans have health insurance
The “fraud, waste, and abuse” narrative has been seriously overworked, and does not fit the facts.
NCAA panel approves new eligibility rules giving Division I athletes 5 years to play 5 seasons
The Division I Cabinet unanimously approved the change from the longstanding tenet of college sports that gave athletes five years to complete four seasons of competition with their eligibility clock starting at the time of enrollment, regardless of age.
New Guidebook Helps Puget Sound Beneficiaries Navigate Their Health Care
Great news for military communities and TRICARE beneficiaries across the Pacific Northwest: navigating military healthcare just got easier. The recently released Puget Sound Patient Guidebook is a comprehensive resource designed for local TRICARE beneficiaries throughout the region. Inside, beneficiaries can find information on enrolling in the Defense Enrollment Eligibility Reporting System, understanding TRICARE plans, locating a Military Treatment Facility (MTF), scheduling appointments, accessing online services, ordering medications and much more.
Oklahoma ACA insurer Mending to end health plans after this year
A health policy analyst says the move comes amid a broader trend of insurer exits as several federal policy changes fuel declining enrollment.
Alabama School of Healthcare Sciences prepares for its inaugural class
Officials said the school met its enrollment goal of around 85 students, including incoming ninth graders and a smaller group of incoming sophomores.
Medicaid and ACA enrollment falls by more than 5 million, new report finds
The decline over the last 12 months stems in part from President Donald Trump’s Medicaid cuts and the expired enhanced Affordable Care Act subsidies.
When school’s out, who will feed the kids?
Eastern NC summer meal programs and pantries strive to keep hunger at bay for food-insecure children when school’s out as new federal restrictions have sent SNAP enrollment numbers plummeting.
Colom prioritizing lower costs, good jobs, affordable health care in state
In 2025, about 27 million people in the United States were medically uninsured, a number that is expected to increase by 10 million in the next decade due to tightened Medicaid eligibility, changes to enrollment processes and a loss of enhanced Affordable Care Act plan subsidies.
How many Americans can afford high-quality healthcare? A new poll finds the number has fallen
Concerns about affording healthcare in the year ahead were also at a record high.
How many Americans can afford high-quality healthcare? A new poll finds the number has fallen
New data from the West Health-Gallup Affordability Index shows that only about half of U.S. adults could afford their healthcare and had access to quality care last year.
Five New Sport Programs Approved by Murray State University Board of Regents
After a thorough analysis of future departmental growth and campus enrollment strategies, Murray State Athletics is proud to announce that it will be expandi...