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Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
A bipartisan group of senators June 18 urged the Centers for Medicare & Medicaid Services to improve implementation of the Rural Health Transformation Program.
Exclusive | Justice Department Unveils $6.5 Billion Healthcare Fraud Crackdown
Prosecutors are expected to charge around 450 defendants in alleged fraud spanning Medicaid and hospice care.
Holland & Knight Health Dose: June 23, 2026 | Insights
The Centers for Medicare & Medicaid Services CMS issued a request for information RFI seeking input on implementation of new requirements for pharmacy benefit managers PBMs.
Backed by threat of clawbacks, feds wield tight grip on $50B rural health fund
Centers for Medicare & Medicaid Services Administrator Mehmet Oz praised states’ plans when announcing the rural health program awards last year and said his agency would help states “turn their ideas into lasting improvements for rural families.” But state officials and healthcare leaders said it’s also clear the agency wants to encourage specific policy changes and hold states accountable to the promises they made and rules they agreed to follow.
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.
Wisconsin’s Medicaid work requirements: Here’s what to know
An estimated 63,000 Wisconsinites could lose BadgerCare Plus as the state prepares to implement new federal Medicaid expansion work requirements next year.
The feds promised Minnesota’s rural hospitals grant money to ease massive Medicaid cuts. Hospitals are still waiting.
Rural health care providers in Minnesota and across the country are bracing for heavy Medicaid funding cuts next year.
Interwell Health delivers savings, top quality scores in Kidney Care Choices Model
Interwell Health, the largest participant in the Center for Medicare and Medicaid Innovation's Kidney Care Choices (CKCC) Model, has produced shared savings of $273 million in its first three years while also receiving top quality scores in that period, Interwell, a unit of Fresenius Medical Care, said this month.
California is getting ready to increase a health insurance tax — will it affect your premium?
Legislators this week approved a health tax bill meant to continue critical federal funding for the state’s Medicaid program.
New Listening Mothers survey: Pregnant patients struggling on Medicaid
A national maternal health survey found many mothers felt unheard during pregnancy and birth, with Medicaid patients reporting worse outcomes.
‘I literally was crying last night because I’m nervous about what I’m going to find out’: a record 51% of Americans aren’t ‘cost secure’ on health
Half of Americans couldn't reliably afford healthcare, before the Medicaid cuts even started.
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.
Healthcare Has Been the Job Engine. That’s About to Change.
Federal healthcare cutbacks, including Medicaid funds, are expected to result in hundreds of thousands of fewer jobs.
Medicaid Work Requirements and Access to Health Care
Scholars examine whether implementing Medicaid work requirements may limit access to health coverage.
Trump Policies Could Strip Health Coverage From 3 Million Age 50-64
Trump’s biggest health care initiatives, rolling back the 2010 Affordable Care Act and cutting Medicaid, could strip insurance from up to 3 million people aged 50-64.
Guest opinion: Rural Wisconsin workers lose health insurance twice as fast as before the pandemic
Wisconsin should expand Medicaid, invest in renewal pathways that don’t assume broadband internet access and revamp the renewal system so eligible people do not lose coverage, Jiyue Wang writes.
Private equity has no place in health care
By Miah Ntepp Of all the financial pressures placed on working people in this country, the skyrocketing costs of health care rank near the top. As families struggle under the cuts to Medicaid made by the Trump administration, they are now facing yet another barrier to affordable health care: the increasing incidence of predatory private […]
At CMS, Oz Eyes Faster Tech Approvals and a 'Power to Convene'
Top Centers for Medicare & Medicaid Services officials said Thursday they plan to increase patients’ access to new technology, including AI, but that they’re still exploring how best to regulate it and ensure patient safety. Addressing the U.S. News Healthcare of Tomorrow conference in Washington,
How Healthcare Policy Shifts Are Reshaping Care for Vulnerable Patients
The Bronx is the poorest congressional district in America and the sickest county in the state of New York. Montefiore Einstein, the academic medical center in the Bronx, serves a population that is 85% dependent on Medicaid and Medicare. As federal Medicaid rules tighten and funding shrinks, more ...
CMS Ignores the Law (Again) – This Time Taking Health Insurance Away from Individuals with Substance Use Disorders, Mental Health Conditions, and Serious Health Conditions
Just a few weeks ago, we explained how the Center for Medicare and Medicaid’s (CMS) proposed regulation on state directed payments goes far beyond the statutory authority in H.R. 1 to incredibly harmful effect. Now it has happened again. This time CMS has issued an interim final rule on work reporting requirements (the “IFR”) that […]
Justice Department sues New York over Medicaid home care ‘fraud scheme’
The Justice Department is suing the New York State Department of Health, the state’s Medicaid director and a company operating a $10 billion home health prog…
Major private payer encouraging employees to leave willingly
The largest Medicaid-specialized managed care organization in the U.S. is offering buyout packages to most of its 60,000 or so staff workers.
US Sues New York Health Officials Over Alleged Fraud in Medicaid Homecare Program
By Jonathan Stempel NEW YORK, June 16 (Reuters) - The Trump administration sued top New York health officials on Tuesday over an alleged scheme to rig the bidding process for managing the state's estimated $10 billion Medicaid homecare program, harming patients and caregivers as well as ...
There’s one big flaw with the AG’s track record on Hawaii Medicaid fraud
However, $13 million came from a single case that began over a decade ago
Gross Medicaid Prescription Drug Spending
State level data on Gross Medicaid Prescription Drug Spending from KFF, the leading health policy organization in the U.S.
Holland & Knight Health Dose: June 16, 2026 | Insights
The Centers for Medicare & Medicaid Services (CMS) will establish the Office of Health Technology and Products (OHTP) to oversee healthcare technology modernization.
Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as “bold, creative plans” led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
CMS Requests Information on Review of the Essential Health Benefits Framework
What: On June 15, 2026, the Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) seeking public input to support a comprehensive review of the Essential Health Benefits (EHB) framework and the requirement
CMS creates new health tech office to lead interoperability efforts, digital products
The Centers for Medicare and Medicaid Services (CMS) aims to play a bigger role in health tech modernization efforts, including leading interoperability initiatives. | The Centers for Medicare and Medicaid Services (CMS) aims to play a bigger role in health tech modernization efforts, including leading interoperability initiatives.
CMS, HHS request information for potential modifications to ACA Essential Health Benefits
The Centers for Medicare & Medicaid Services and the Department of Health and Human Services issued a request for information (https://www.federalregister.gov/documents/2026/06/15/2026-11994/request-for-information-comprehensive-review-of-the-essential-health-benefits-framework-and-typical) June 12 seeking input on CMS’ review of the Affordable Care Act’s Essential Health Benefits framework and the requirement that the scope of EHBs is equal to the scope of benefits provided under a standard employer plan.
Where ‘democracy met science,’ 50 years ago
State Medicaid crackdowns strain home care, WHO leader on Ebola outbreak, and more health news
Metro Atlanta business owner pleads guilty to Medicaid Fraud, fake genetic testing services
Now convicted, the business owner will have to pay restitution and serve a 10-year sentence.
Blue Earth man accused of $23M fraud scheme defends his business
Prosecutors allege Charles Healey exploited a Medicaid program to buy luxury cars and Rolex watches. But he argues he ran a growing program amid confusing state rules.
Media Recap: Coverage Highlights Medicaid, Behavioral Health Transportation
MHA CEO Brian Peters recently appeared in an AARP-sponsored segment that aired in the Grand Rapids and Lansing markets to discuss the importance of Medicaid for Michigan residents.
Public Health at an Inflection Point: Aligning State Systems to Strengthen Population Health
The US public health system is facing an inflection point characterized by chronic underinvestment, workforce and service delivery challenges, outdated data infrastructure, growing health inequities, and increasing instability within the broader health care safety net including projected Medicaid coverage changes and continued rural hospital closures.
CMS approves budget for GO-NORTH, the state’s federally funded rural health program
The Centers for Medicare and Medicaid Services approved New Hampshire’s spending plan for a large tranche of federal money that will go toward rural health initiatives, state officials announced Thursday.
CMS announces Office of Health Technology and Products
The Centers for Medicare & Medicaid Services June 10 announced the establishment of a new Office of Health Technology and Products.
Social Security is Facing a Political Crisis
On Tuesday the Social Security Trustees released their latest report on the system’s finances. The numbers didn’t change much: Unless something is done, the Old Age Survivors and Disability Insurance (OASDI) program, Social Security’s official name, will be unable to pay full benefits starting in either 2032 or 2034, depending on some technical issues. That’s not far away: If the Trustees are right, the prospect of a Social Security crisis will loom over the next presidential administration. It’s important to understand, however, the nature of the looming crisis. It won’t be an economic crisis. It won’t even be a serious fiscal crisis. Whatever you may have heard, Social Security isn’t in danger of going bankrupt. What we’re facing, instead, is potential political crisis. Congress and the White House could easily take action to sustain America’s retirement system. But given the current state of our politics, there’s no guarantee that they will. There is a widespread misunderstanding of how Social Security works. While Social Security was designed to look like a pension fund, it isn’t. A pension fund pays benefits out of a stock of assets it has accumulated over time. In contrast, Social Security operates as a government transfer program, like food stamps or Medicaid. Now, unlike food stamps — but like the highway trust fund — Social Security is on paper supported by a dedicated tax, the payroll tax, that is assigned to that program. But I say “on paper” because from an economic point of view assigning the payroll tax to Social Security is just an accounting convention. What matters for the U.S. economy is the overall balance between government spending and government revenue, not the difference between one type of spending and one source of revenue. So there’s no inherent economic significance to the fact that by 2034 payroll tax receipts will be insufficient to cover promised benefits. There is, however, a legislative issue. As long as the Social Security Administration can pay benefits out of payroll taxes and its cash reserve, there’s no need for Congress to vote each year to authorize benefits — they just keep going out until further notice. However, once those resources become insufficient, benefits will fall —by 17 percent according to the Trustees — unless Congress passes new legislation that “tops up” Social Security’s finances. Yet the current administration and Republican party are such extremists that there is a real risk that Social Security will be held hostage on behalf of their goals. If this should come to pass, the hostage-takers will claim that shoring up Social Security is unaffordable. Right on cue, Mike Johnson, the Trump-sycophant Speaker of the House, declared on Monday that “entitlement programs” like Social Security “have to be adjusted and fixed,” and that Republicans will introduce a plan to that effect next year. But this is a ploy, because while the cost of maintaining Social Security benefits at their promised level isn’t trivial, it is in fact affordable. According to the Trustees’ report, the actuarial balance of OASDI up through 2050 — the amount of additional funds it would need to keep paying full benefits for the next 25 years — is 1.06 percent of GDP. To put that number in perspective, the Trump administration proposes increasing military spending next year by $420 billion, equivalent to about 1.4 percent of GDP – without any discussion of whether that’s affordable Yet how did we get to the point where Social Security will need to be topped up? The main answer is that we have an aging population, with a growing ratio of retirees collecting benefits to workers paying into the system: Trump’s anti-immigration policies are making this problem worse. According to the Trustees’ report, lower immigration will deepen Social Security’s financial hole because many immigrants are working-age adults who will pay into the system for decades before they collect benefits. In fact, this problem may be much bigger than the report acknowledges: The report’s baseline assumption is that we’ll have net immigration of almost 1.2 million people a year, and even the pessimistic case assumes 750,000 a year. Meanwhile actual net immigration has already been cut far below that — and may now be negative. Moreover, Social Security is being financially damaged by growing income inequality in America. Payroll taxes are levied only on wages up to $184,500, and they don’t touch capital income. With the distribution of income increasingly shifting from labor to capital, as well as becoming more unequal among wage-earners, revenue from the Social Security payroll tax has been falling as a share of national income. From 1990 to 2024, it fell from 5.02 percent of gross domestic income to 4.46 percent. Which brings me to the question that, these days, we ask about everything: How might Social Security be affected by the advent of AI? A short answer: If, as many of us fear, AI accelerates rising income inequality, it will further reduce the payroll tax receipts that currently pay for Social Security and further endanger its finances. On the other hand, if AI, as its advocates promise, leads to faster economic growth, it will increase the potential tax base that could and should be used to support Social Security and other social insurance programs. But to take advantage of that larger base, we’ll have to get serious about taxing wealth and capital income. Is Social Security in trouble? Yes, but only because of the way its financing is currently structured — a structure that no longer works well because our society and economy have become so unequal. Moreover, Trump’s immigration policies are further endangering its already deteriorating financial condition. So don’t believe Republicans’ gaslighting that it will be necessary to cut Social Security benefits. All that is necessary to preserve Social Security is political will to raise taxes on the wealthy and a sensible immigration policy. MUSICAL CODA Actually 67 under current law.
Federal curveball upends NC’s plans for Medicaid work rule
New exemption guidance from CMS on who qualifies as "medically frail" has forced the state back to the drawing board.
Work requirements and Medicaid cuts, health experts worry changes will impact medically frail people
Seriously ill Hoosiers could have to prove they are unable to work under a new federal definition of work requirements put forward by the Trump Administration.
The Health and Wellbeing of Formerly Incarcerated People in Connecticut: Insights from the DataHaven Community Wellbeing Survey
By Carter Shannon, Nat Markey, Nora Hodgson, Samantha Lydell, Andrew Carr, and Mark Abraham, DataHaven About this Report Approximately 1 in 5 men aged 18–64 in Connecticut have experienced incarceration at some point in their lives. This population includes people who have been held in a local jail for a single night and those who have served lengthy prison sentences, and it cuts across race, age, geography, and socioeconomic background in ways that reflect broader structural inequities in the criminal legal system. Yet across nearly every indicator of wellbeing, formerly incarcerated people in Connecticut face significant disparities compared to those without an incarceration history. This report explores data on the experiences of formerly incarcerated men in Connecticut from the DataHaven Community Wellbeing Survey (DCWS). The DCWS illuminates significant gaps in economic wellbeing, physical health, mental health, and social support between men with and without incarceration histories in Connecticut. The survey also reveals worse self-reported outcomes for formerly incarcerated people across a range of quality-of-life indicators, with disparities that are often most severe among those who have been incarcerated more than once. These disparities do not arise by chance. They are shaped by a policy landscape that erects lasting barriers to housing, employment, and healthcare for people leaving incarceration, as well as by the physical and psychological toll of incarceration itself. This report is being written in the political context of federal funding cuts to social programs and proposed rollbacks to Medicaid eligibility, changes that will disproportionately impact people with incarceration histories, who are more likely to rely on public health coverage and other safety net supports.
The number of uninsured Californians could nearly double by 2030, says new report
Historic cuts to Medicaid and low-cost California health insurance could leave 4.6 million residents with no coverage. A new report from the UC Berkeley Labor Center says the working poor, older workers and undocumented workers could bear the brunt.
Medicaid cuts reignite clash between health worker unions, hospitals
The looming impact of federal Medicaid cuts has reignited a costly battle between California’s medical industry and one of its largest health worker unions.
Looming Medicaid Cuts Supercharge California’s Latest Labor-Industry Fight
One of California’s largest healthcare unions is sponsoring two initiatives that would regulate community clinics and cap executive and managerial pay at hospitals and physician groups. In the most recent eruption of a long-standing feud, the measures have drawn fierce opposition from a wide swath of the medical industry.
UMass Chan research finds Medicaid-funded nutrition, housing programs linked to improved health outcomes, lower costs
New research finds Medicaid-funded nutrition and housing programs are linked to improved health outcomes and lower healthcare costs in Massachusetts.
Michigan’s Medicaid expansion improved both health and finances
Michigan’s Medicaid expansion, called the Healthy Michigan Plan, helped individuals’ physical, mental and financial health, and supported the hospitals and clinics used by all Michiganders.
Michigan’s Medicaid expansion improved both health and finances
Michigan’s Medicaid expansion, called the Healthy Michigan Plan, helped individuals’ physical, mental and financial health, and supported the hospitals and clinics used by all Michiganders.
Trump’s health care affordability czar touts Medicaid cuts to hospital leaders
Hospital execs say they're working to mitigate the impacts of the looming cuts.
Ohio lawmakers backtrack after trying to restrict Medicaid home healthcare
Ohio Republicans have reversed course after their proposal to restrict home healthcare under the state's Medicaid program received massive backlash.
She Paid $20,000 For Her Own Pregnancy, Then Built The Fix For Medicaid Moms
Malama Health's doula-led model cuts preterm births 45% for Medicaid moms. Mika Eddy is building the maternal care infrastructure America never had.
The Trump administration makes it harder for some sick Americans to maintain Medicaid
Millions of sick Americans could have a tougher time retaining – or even signing up for – Medicaid coverage after the first-ever federal work requirement begins in January.
Area healthcare workers rally at ‘Health Cuts Kill’ demonstration
Speakers spoke out against cuts to medicare and medicaid, as well as other federal funding reductions that, they say, will have devastating impacts.
Nevada proposes pausing licensing for new hospice and home-health providers while it probes possible fraud
Nevada is proposing a months-long moratorium on new licenses for hospice and home-health providers as well as a pause of new enrollments into the state’s Medicaid program while the authoritie...
Ohio Medicaid Program Suspends 49 Home Health Providers Amid National Fraud Crackdown
As federal officials intensify scrutiny of Medicaid-funded home-based care, Ohio has become the latest state to take aggressive enforcement action against
Citing fraud worries, Nevada pauses hospice and home health licensing, Medicaid enrollment
Nevada is putting a pause on licensing for hospice and home-health providers and new Nevada Medicaid enrollments, citing worries about fraud.
CT community health workers still waiting for Medicaid support
A 2023 law requiring CT's Medicaid program to pay for services provided by community health workers has yet to be implemented.
Millions of Kids Could Lose Insurance as GOP Healthcare Cuts Start To Bite
Big cuts to healthcare programs in the 2025 GOP budget law are creating an affordability crunch for many Americans: Higher health insurance premiums. Confusion about whom Medicaid will cover under the new rules. KFF Health News chief Washington correspondent Julie Rovner explains how the changes could leave nearly 2 million children uninsured.
MDHHS Finalizes Specialty Behavioral Health Services Location Policy
The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid Policy Bulletin MMP 26-17, effective July 1, 2026, which clarifies reimbursement requirements for specialty behavioral health services provided through Prepaid Inpatient Health Plans in home, community and residential settings.
Home-Delivered Medical Meals Reduce ER Visits, Save Money
By Dennis Thompson HealthDay ReporterTHURSDAY, June 4, 2026 (HealthDay News) — Providing home-delivered, medically tailored meals to people with chronic health conditions lowers their risk of landing in a hospital, a new study says. Medicaid patients had fewer hospitalizations and ER visits while ...
Medically tailored meals cut costs and health emergencies, study finds
In the US, the first large statewide analysis of Medicaid Massachusetts data reveals that hospital patients with diabetes, heart disease, depression, and other conditions who received home-delivered, dietitian-designed meals experienced significantly fewer health emergencies and lower costs of care than those who did not. At least a dozen US states are rolling out medically tailored meals in pilot projects through the federal-state health insurance program, which serves 71 million citizens who qualify based on income or disability status. Massachusetts is the first to offer this to citizens with diet-related diseases.
Advocates say feds' Medicaid work rule could make qualifying for healthcare needlessly hard
Advocates say stringent terms in the federal rule for implementing work requirements will make it more difficult even for people who qualify to remain covered by Medicaid.
Medicaid termination letters leave South Florida behavioral health patients and therapists in limbo
Ohio Medicaid fraud discussed in House hearing
During the hearing, Republicans repeatedly blamed Medicaid fraud in Ohio on immigrants, specifically from Somalia and Bhutan, while Democrats accused Republicans of trying to score political points on immigration to distract from greater corruption in the Trump administration.
Ohio Medicaid fraud discussed in House hearing
During the hearing, Republicans repeatedly blamed Medicaid fraud in Ohio on immigrants, specifically from Somalia and Bhutan, while Democrats accused Republicans of trying to score political points on immigration to distract from greater corruption in the Trump administration.
Trump’s Medicaid Work Rules Force States To Scrap Plans and Rework Systems
By Rachana Pradhan and Samantha Liss | KFF Health News The Trump administration’s rollout of a federal mandate that millions of Americans on Medicaid must work or risk losing health benefits will force states to scrap months of preparation, according to advocates for Medicaid enrollees and ...
People with cancer or HIV could lose Medicaid under new work rules, advocates say
Adults on Medicaid will be required to work 80 hours per month. The Trump administration says people who are sick will have to prove they are too sick to work to be exempt from the new work rules.
Study found canceled Medicaid pilot program saved in healthcare costs
NORTH CAROLINA — A pilot program designed to use Medicaid funds on non-medical needs — food, housing and transportation needs — was discontinued last year, but a study found it decreased healthcare…
Trump’s Medicaid work requirements have an unwelcome surprise for some states and patients
Advocates were already dreading Medicaid's work requirements. New rules are worse than they feared.
For some chronically ill Mass. residents, food is medicine
New research shows people on Medicaid who receive medically-tailored meals are less likely to need hospital care or land in emergency departments.
New Federal Rule Makes Sweeping Changes to Health Insurance Marketplace Regulations
A new rule issued by the Centers for Medicare and Medicaid Services makes a long list of changes to the Affordable Care Act marketplaces that the agency says will lead to more plan choices and lower premiums for consumers.
'Seven Days in June': Protests nationwide this week rally against Trump $1 trillion cuts to health care and hospitals
Lin-Manuel Miranda and Noah Wyle are among the celebrities supporting the events, which oppose recent cuts to Medicare, Medicaid, and more.
How one state’s medical meal program lowered health care costs
Medicaid work requirements, fast-tracked funding for experimental Ebola vaccines, and more health news from Morning Rounds
Medically Tailored Meals Produce Better Health and Lower Costs
First statewide Medicaid analysis finds fewer hospitalizations and emergency visits—and lower healthcare costs—among meal recipients in Massachusetts
Statement from the Paragon Health Institute on CMS Interim Final Rule Regarding Medicaid Work Requirements
Able-bodied adults of working age should engage in employment, job training, education, volunteering, or community service.
Missed Opportunities: Using Medicaid Section 1115 Projects to Improve the Health of Medicaid and Medicare Beneficiaries
Medicaid Section 1115 demonstration projects are widely used to test innovative policies but are subject to “budget neutrality” limits so that federal expenditures do not exceed what the federal government would have spent if the project was not adopted.
Healthcare providers brace for Medicaid cuts. Are layoffs in rural NC next?
More than 250,000 North Carolinians could be kicked off Medicaid next year. The cuts have the potential to devastate local economies, particularly in rural areas, if hospitals and health clinics respond by conducting layoffs or shutting down entirely.
What the Massive Medicaid Cuts Mean for Your Health Care
We’ll take stock of what the new Medi-Cal landscape means for everyone’s access to health care in California and the Bay Area.
Rural Health Transformation: Insights from States
The Rural Health Transformation Program (RHTP) will provide $50 billion to states over the next five years to transform rural health care. States received award decisions in late 2025 and are moving fast, with funding deadlines and reporting requirements already on the horizon. This program is rolling out as rural areas face significant federal Medicaid cuts over the next decade. What does this mean for Congress? Join the Bipartisan … Continued
Medicaid’s Vital Role in Mental Health and Substance Use Disorder Care
Mental Health Awareness Month is an opportunity to recognize Medicaid’s essential role in helping people access mental health care and treatment for substance use disorder. As the nation’s largest payer for mental health and substance use disorder care, Medicaid covers approximately twenty two million non-elderly Americans with these conditions who rely on the program’s essential […]
$775 billion, $1.2 billion, and $38k
Medicaid cuts stemming from Republicans' 2025 tax law are expected to be even bigger than forecast.
Vaya Health and Partners Health Management to merge on Oct. 1
The North Carolina Department of Health and Human Services' has approved the consolidation of Vaya Health and Partners Health Management.
Kentucky Voices for Health advocates for equitable healthcare policies
Kentucky Voices for Health advocates for equitable healthcare policies and protects programs like Medicaid.
Kentucky Voices for Health advocates for equitable healthcare policies
Kentucky Voices for Health advocates for equitable healthcare policies and protects programs like Medicaid.
Short Naps, Long Hours: How Autism Clinics Squeeze Medicaid Dollars Out of Preschoolers
The industry has grown rapidly, straining state budgets. A focus on finances has led to overbilling, fraud and even harm.
St. Paul business owner charged in $4M Minnesota Medicaid fraud scheme
A St. Paul business owner is facing federal charges after prosecutors said she stole millions from Medicaid by fraudulently billing for services, including some which were never provided.
Massachusetts preps for Medicaid work requirement: 300K at risk
Vulnerable state residents will face new guidelines and restrictions in the coming year.
Providence to end most of its health insurance business
While the nonprofit is negotiating with a national carrier over the operation of its Medicaid Advantage plan, a majority of its health insurance business will wind down by 2027.
Providence to end most of its health insurance business
While the nonprofit is negotiating with a national carrier over the operation of its Medicaid Advantage plan, a majority of its health insurance business will wind down by 2027.
Coverage is Care at Trinity Health Michigan - MHA | Michigan Health & Hospital Association
Chiquita Berg, MD, MBA, FACOG, vice president, Community Health & Well-Being, Trinity Health Michigan. Significant changes to Medicaid are expected to take effect in 2027, bringing new requirements and processes that could increase the risk of coverage loss for eligible individuals if systems are not prepared. While many details are…
State Health Coverage for Immigrants and Implications for Health Coverage and Care
Noncitizen immigrants, particularly those who are undocumented, face significant barriers to accessing health coverage and care and are significantly more likely than citizens to be uninsured. This brief provides an overview of state health coverage programs for immigrants, including among states that have taken up options in Medicaid and the Children’s Health Insurance Program (CHIP) to expand coverage for lawfully present immigrants and/or established fully state-funded programs to fill gaps in coverage for immigrants.
White House looks like it’s playing politics with Californians’ health care
The administration is right to go after Medicaid fraud, but singling out the state for a huge penalty looks like retribution.
White House looks like it’s playing politics with Californians’ health care
The administration is right to go after Medicaid fraud, but singling out the state for a huge penalty looks like retribution.
What CT health bills passed? Vaccines, hospitals, Medicaid rates and more
“Not increasing rates is impacting the workforce and access to care,” Rep. Jillian Gilchrest said. “The work’s not done.”
CMS Updates Medicaid Child Health Guidance
This compilation of guidance serves as a technical assistance tool for state EPSDT staff.
Dr. Oz highlights political patronage as a 'major concern' regarding fraud
Medicare & Medicaid Services Administrator Dr. Mehmet Oz discusses recent Anti-Fraud Task Force crackdowns and highlights massive fraud schemes on 'Varney & Co.'
Moratorium won’t impact existing home health, hospice services in Maine, advocates say
The Trump administration announced a 6-month moratorium on new agencies, citing 'waste, fraud and abuse' in Medicare and Medicaid programs.
How a vote for Trump’s ‘big, beautiful bill’ put Republican David Valadao in danger of losing his seat
Medicaid cuts have become a crucial issue in a Central California battleground race.
CT health legislation: Focus on vaccines, Medicaid rates, private equity in 2026
Connecticut lawmakers tackled several long-standing healthcare issues during this year's legislative session. Here's what they passed.
Arizona AG says Medicaid behavioral health billing dropped 92% after fraud crackdown
Arizona AG Kris Mayes says billing through the American Indian Health Plan for behavioral health services has dropped over 90% the past few years after her office began targeting fraud in the program.
Trump officials hit California with ‘largest ever’ freeze on Medicaid funds
The Trump administration suspended $1.1 billion in California Medicaid funds over fraud claims, threatening home care for 900,000 seniors and people with disabilities.