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Trump administration admits error in New York health care fraud probe
President Donald Trump's administration has admitted to a major error in data used to justify a federal fraud probe into New York’s Medicaid program.
Federal Medicaid cuts add to health care budget challenges
There are growing calls for help across the health care spectrum amid concerns over the impact of federal Medicaid cuts.
Coös County health center CEO says new rural health funds not enough to counteract Medicaid cuts
Edward Shanshala, CEO of Ammonoosuc Community Health Services, said when Congress passed its massive tax cuts and spending law last year, he and his colleagues made the difficult decision to shut down the organization’s clinic in Franconia in anticipation of the law’s impacts. Shanshala doesn’t think a new tranche of federal funding will be enough […]
Medicaid work rules will stress states' staffing capacity
Dearborn Heights man pleads guilty in federal court to health care fraud
Rabih Hamdan admitted to submitting false prescription claims to Medicaid, Medicare and Blue Cross.
Rural health care in focus: NC lawmakers raise concerns over shortage of nurses, doctors
There aren’t enough nurses and doctors in North Carolina, state leaders say, a problem that’s particularly acute in rural areas. Meanwhile, cuts to Medicaid and other economic factors threaten rural hospital closures.
After governor approves, Idaho health agency announces restored Medicaid mental health programs
The Idaho Department of Health and Welfare announced it would start reimbursing providers for Assertive Community Treatment and peer support.
Bhatti: Republicans must restore, strengthen health care after gutting it
Michigan doctors worry about healthcare cuts by Trump and Republicans, impacting Medicaid and low-income families.
The Rural Health Transformation Program Isn’t So Transformational
Rural health care systems have been in crisis for decades, a situation that will become more dire when steep cuts to Medicaid kick in next year.
As Montana Prepares to Roll Out Medicaid Work Requirements in July, Health Care Advocates Propose Best Practices
As the state’s Department of Public Health and Human Services (DPHHS) gears up to begin checking for Medicaid work requirements this summer, department officials this week announced the launch of a new government webpage designed to help patients navigate the upcoming changes. “Our priority is to ensure that Montanans covered by Medicaid Expansion have the […]
Democrats eye 2028 for bigger health care push
WASHINGTON – As Democrats vie to take control of Congress in the midterms this fall, their main message on health care policy is fairly straightforward: undo Republicans’ Medicaid cuts and restore the health care subsidies that lapsed at the end of last year.
Oregon gave millions in erroneous benefits for state health plan, audit says
A free Oregon health care program for adults who make too much money to qualify for Medicaid could have improperly given out $15 million in payments related to benefits for recipients, according to a recent audit of state-managed federal programs.
Oregon gave millions in erroneous benefits for state health plan, audit says
By Shaanth Nanguneri, Oregon Capital Chronicle SALEM, Ore. -- A free Oregon health care program for adults who make too much money to qualify for Medicaid could have improperly given out $15 million in payments related to benefits for recipients, according to a recent audit of state-managed federal programs. The “questioned” funds surfaced in an 124-page
Concerns over a Nebraska hospital show how a $50B rural health fund is coming up short
A rural Nebraska family’s lifeline hospital now sits at the center of a national fight over Medicaid cuts.
Trump's $50B health fund offers ailing rural hospitals few solutions
A rural Nebraska family’s lifeline hospital now sits at the center of a national fight over Medicaid cuts.
After four patients died, Idaho governor approves restoring cut Medicaid mental health programs
Idaho Gov. Brad Little signed a bill to restore mental health treatment programs the state cut to comply with the his budget cut order.
CMS announces data release on health care utilization and prices
The Centers for Medicare & Medicaid Services April 2 announced the release of new data on health care utilization and prices at the provider and service level in open, machine-readable formats under an open license.
Families reeling from Baystate Health decision to end gender care for youth
Baystate Health, the largest health center in western Massachusetts, announced in February it would stop gender-affirming treatment for children, offering only counseling. This came after the Trump administration threatened to strip Medicaid and Medicare funding from any hospital providing the care to kids.
Carolina Complete Health and WellCare of North Carolina Combine to Form Provider-Led Managed Care Organization
The combined organization will continue to serve Medicaid, Marketplace, Medicare and Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan members statewide CHARLOTTE, N.C.,...
Citing patient deaths, Idaho Senate approves restoring cut Medicaid mental health programs
The bill would spend Idaho legal settlement funds to reinstate the mobile treatment program, called the Assertive Community Treatment program.
Davids Visits Community Health Center, Highlights Medicaid Cuts’ Impact on Kansas Health Care Access
OTTAWA, KS — Today, Representative Sharice Davids visited Heartland Community Health Center’s Healthy Futures mobile dental program at Ottawa High School, which provides dental exams and cleanings to local students.
The New Ideas Conundrum in Health Policy
In a new column, President and CEO Dr. Drew Altman writes about the "conundrum of health policy ideas" facing Democrats searching for new proposals because of competing, and complex, priorities: rebuilding Medicaid and the ACA after trillion-dollar cuts, reconstructing federal health agencies, and tackling underlying health care costs, when candidates want simple ideas they can campaign on and voters want their costs to come down.
Iowa hopes to get up to $1 billion to improve rural health infrastructure. Some say it will do little to offset looming Medicaid cuts
State officials hope to bring in up to $1 billion in federal funds over the next five years to improve rural health infrastructure, but some say it will do little to help rural hospitals weather looming Medicaid spending reductions.
NM governor candidate Haaland plans to ‘work toward’ public health care, fight Trump Medicaid cuts
Former Interior Secretary and New Mexico gubernatorial candidate Deb Haaland announced plans to tackle the state's health care system.
States are Beginning to Grapple with Federal Medicaid Cuts Impact on Rural Health Care
Visit the post for more.
States Pay Deloitte, Others Millions To Comply With Trump Law To Cut Medicaid Rolls
The One Big Beautiful Bill Act will add red tape and restrictions for those seeking Medicaid and SNAP benefits. And the costs to update computer systems that determine eligibility for those programs will be steep.
Trump’s Hunt for Undocumented Medicaid Enrollees Yields Few Violators
Federal health officials have ordered states to reverify the immigration status of hundreds of thousands of Medicaid enrollees. After seven months, findings from five states show the reviews have uncovered few immigrants without legal status who are improperly receiving benefits.
Medicaid cuts threaten hundreds of hospitals, new report finds
Together, the hospitals provide care for nearly 7 million patients across the U.S., according to the analysis.
As many as 356,000 Ohioans will lose health coverage under Trump spending law, new reports says
A Trump-backed law imposes Medicaid work requirements. A report says 356,000 Ohioans will lose coverage. Almost all have jobs or can't work.
Head of Colorado’s Medicaid program resigns as state Senate was preparing to take “no confidence” vote
Kim Bimestefer’s resignation comes as the state Medicaid program has dealt with billing mistakes and scrutiny over past spending
CMMI Launches ASPIRE Children’s Health Model
The model aims to improve whole-person care for children enrolled in Medicaid and the Children’s Health Insurance Program who have complex medical and behavioral needs.
Under fire from legislators and critics, Colorado’s top Medicaid official resigns
Kim Bimestefer resigned Monday as Colorado’s top Medicaid official, stepping down just as a bipartisan bloc of state senators prepared to formally urge Gov. Jared Polis to remove her over what they called years of mismanagement, waste and costly errors inside the state’s largest agency. In her resignation statement released by the governor’s office, Bimestefer […]
States pay Deloitte, others millions to comply with Trump law to cut Medicaid rolls
Health care jobs growth is stagnating at the biggest for-profit firms
Major health insurers are trimming jobs, and Medicaid cuts could soon force hospitals to lay off workers.
Trump’s hunt for undocumented Medicaid enrollees yields few violators
The Trump administration sent states the names of hundreds of thousands of Medicaid enrollees with orders to determine whether they were ineligible based on immigration status.
Rural Missourians far more likely to be uninsured than urban residents
Rural Missourians rely more on Medicaid but are still more likely to be uninsured than urban Missourians, as lack of employer coverage and access barriers take hold across the state.
Kennedy, Oz announce new health care advisory committee
The Health and Human Services Department (HHS) and Centers for Medicare and Medicaid Services (CMS) on Thursday announced the formation of a new expert advisory panel that will make recommendations…
Kim Reynolds signs law hiking tax on private insurers to fund Medicaid
The Iowa law raises taxes on private health insurance providers, known as HMOs, to bring in funds to shore up a deficit in Iowa's Medicaid budget.
How the youngest female CEO in the Fortune 500 navigates political turmoil
Sarah London is leading Centene through political challenges like Medicaid cuts.
Democrats hope GOP health care cuts will put Alaska, and the Senate, in play
Republican Dan Sullivan lost a bid to stave off Medicaid cuts last year and is now facing a barrage of critical ads.
Menopause hormone therapy treatments would be covered by health insurance under Ohio bill
Ohio Democratic lawmakers want menopause hormone therapy treatments covered by health insurance and Medicaid.
Vandalia Health restructuring, eliminating north/south regions; Goldberg out
Changes come with President and CEO David Ramsey set to retire and anticipated impact from Medicaid changes.
Thousands could lose their Medicaid in Kansas City, health leaders are calling for action
They fear people will be kicked off coverage next year when a federal law requiring work requirements and more frequent eligibility checks kicks in.
Accelerating Innovative and Effective Pediatric Health Care Delivery Systems: Interventions and Value-Based Care Models for Children with Chronic Health Conditions and Complex Social Needs
Children, youth, and families have unique health needs, which set the foundation for health across the life course; chronic conditions now affect nearly one in three U.S. children, with disproportionate prevalence in those enrolled in Medicaid and CHIP.
Louisiana mourns loss of health care pioneer Ruth Kennedy
Ruth Kennedy, former Medicaid Director for the Louisiana Department of Health, passed away on March 20 after dedicating over 40 years to expanding health care access in the state.
On 16th anniversary of Affordable Care Act, Va.'s federal lawmakers and health leaders weigh risks
Virginia's Democratic federal lawmakers and health care providers met in Hampton Roads to discuss lapsed parts of the ACA program and steep cuts to Medicaid funding.
After patient deaths, Idaho budget committee approves restoring cut Medicaid mental health programs
The Idaho Legislature will consider restoring mental health programs the state cut to comply with the governor’s order for budget cuts.
Nurses rally in Alameda to protest federal health care cuts
A large group of nurses rallied outside Alameda Hospital as part of a nationwide “Red Alert" tour, protesting proposed federal cuts to Medicare and Medicaid.
Doulas can improve health outcomes for women and babies. Insurers are taking notice.
While more Medicaid patients and even some on private plans have gained doula coverage in recent years, United is the first major insurer to begin rolling out the benefit nationwide.
Here’s how Va. lawmakers suggest the next state budget handle federal health care funding fallout
More than 2 million Virginians rely on state social services like Medicaid and the Supplemental Nutrition Assistance Program, while about 400,000 Virginians get their health insurance through the state marketplace.
If states ban fluoride, kids with cavities and Medicaid costs could spike, study finds
If five states ban fluoride in drinking water, 132,572 additional children would need a cavity filled or a tooth pulled.
Medicaid drug reimbursements could end for health care providers across Indiana
Health centers warn they could lose millions in rebates under the states proposed change, which would end Medicaid drug rebates for health organizations.
Lawmakers’ health care fraud clash
On Tuesday, Republicans and Democrats on a key House committee sparred over GOP efforts to investigate Medicaid fraud.
Louisiana projects about 21,000 people will lose Medicaid under new work requirements
Louisiana officials say 21,000 people could lose Medicaid under new work requirements — but outside estimates suggest losses could be far higher.
Oz Says California’s Not Fighting Health Care Fraud. Data Shows a Larger Battle
By Don Thompson | KFF Health News SACRAMENTO, Calif. — For weeks, Mehmet Oz has been waging a public feud with California leaders over health care fraud, accusing the blue state of failing to adequately combat such abuse. Oz, who heads the U.S. Centers for Medicare & Medicaid Services, alleged that
Providing Medicaid to immigrants who are children or pregnant is costing Colorado 611% more than expected
The state predicts that the Covering All Coloradans program will cost Colorado $104.5 million in the fiscal year that began July 1. Nonpartisan fiscal analysts estimated the cost would be $14.7 million.
Medicaid autism therapy boom triggers crackdown
Spending quadrupled over five years amid a proliferation of fraudulent billings.
Sarah Trone Garriott says she backs public health option in Ottumwa visit
Democratic congressional candidate Sarah Trone Garriott backed a public health insurance option as she warned of Medicaid cuts closing rural hospitals
How The HCA Healthcare (HCA) Narrative Is Shifting Around AI, Medicaid Support And Valuation
HCA Healthcare’s modeled fair value has been nudged higher from about US$541.52 to about US$543.05, signaling only a very modest adjustment to the price target range. Behind that small move, recent analyst commentary has focused on potential earnings support from Georgia’s Medicaid SDP approval and ongoing AI and efficiency efforts, while also flagging reimbursement and legislative risks that could limit how far targets stretch. As you read on, you will see how these moving pieces shape the...
Five Takeaways From the WSJ Investigation of the Autism Therapy Business
States paid autism-therapy providers $2.2 billion in 2023, helping make it the fastest-growing area of Medicaid spending—and entrepreneurs and investors saw an opportunity.
Millions of military personnel may rely on hospitals facing financial challenges | Harvard T.H. Chan School of Public Health
A significant portion of military personnel, veterans, and their families may be relying on health care from hospitals that are on shaky financial footing, largely due to recent cuts to Medicaid, according to a new analysis.
AOiA positioned as early leader as CMS elevates digital health evaluation nationwide
CHICAGO, IL — The American Osteopathic Information Association (AOiA) applauds the Centers for Medicare & Medicaid Services (CMS) for launching the Medicare App Library, a new national directory of rigorously evaluated digital health applications for Medicare beneficiaries. The initiative represents a major federal commitment to ensuring that patients have access to safe, evidence‑based digital health … Read More
CVS Health’s Aetna to Pay $117.7 Million to Resolve False Claims Act Allegations
Aetna was accused of submitting false patient diagnosis data for its Medicare Advantage Plan enrollees in order to get higher monthly payments from the Centers for Medicare and Medicaid Services.
Jim Cramer on Molina Healthcare: “Lots of Exposure to Medicare and Medicaid, the Weakest Part of a Weak Business”
Molina Healthcare, Inc. (NYSE:MOH) is one of the stocks Jim Cramer discussed amid the reshuffling of the S&P 500. Cramer highlighted it as a long-term loser, as he remarked: Next, Molina Healthcare is a managed care play with lots of exposure to Medicare and Medicaid, the weakest part of a weak business. That includes the […]
HCMC doctor says hospital's closure would endanger health database, cause "public health crisis"
The fight to keep Minneapolis' Hennepin County Medical Center open is in full swing, with leaders saying the hospital is in grave danger of closing after Medicaid cuts and budget confusion.
Oregon lawmakers plug health funding gaps, brace for federal Medicaid changes
From vaccine access and urgent care standards to abortion protections and Medicaid funding, Oregon’s session reshaped the state’s health safety net.
Myomo and Elevance Health Agree to Contract for Multi-State Network Participation
BURLINGTON, Mass., March 09, 2026--Myomo, Inc. (NYSE American: MYO) ("Myomo" or the "Company"), a wearable medical robotics company that offers increased functionality for those suffering from neurological disorders and upper-limb paralysis, announced today it has entered into its first among a series of expected network participation agreements with Elevance Health. The contracts, which include the Anthem-affiliated Commercial, Medicare Advantage, and Medicaid plans are expected to become effec
Mehmet Oz says Obamacare enrollment may be ‘too high’
Even as the top official for Medicaid and Medicare claims millions may be falsely enrolled, the Trump administration is urging younger people to sign up for high-deductible ACA plans.
He Promised His Dying Mother He’d Protect the Family’s Health. In This Georgia Town, It Isn’t Easy.
“Keep the family healthy.” Those were some of the last words Clifford Thomas’ mother said to him. But in Albany, a town with a health care monopoly and no Medicaid expansion, staying healthy is a luxury that many are priced out of.
Fierce Healthcare Names Escher Health a “Fierce 15” Company of 2026
OAKLAND, Calif., March 09, 2026 (GLOBE NEWSWIRE) -- Escher Health, a leader in healthcare financial AI, today announced that Fierce Healthcare has named it as one of 2026’s “Fierce 15” healthcare companies. The annual special report features the most innovative private healthcare companies looking to change the face of the industry. “Navigating safety net programs, including Medicaid, remains stubbornly complex, preventing people from receiving needed care until it’s urgent and expensive,” said
Hennepin Healthcare's crisis is a warning for safety net hospitals
HCMC won't be the first safety net hospital pushed to the brink by recent Medicaid cuts, experts predict.
Gov. Mills responds to Dr. Oz’s request for MaineCare data
Last month, the U.S. Centers for Medicare and Medicaid Services gave Maine 30 days to answer questions about how the state handles MaineCare following a federal audit that found $46 million in alleged “improper” payments.
Trump’s Medicaid work mandate could kick thousands of homeless Californians off coverage
A majority of California’s roughly 180,000 people experiencing homelessness have health insurance through Medi-Cal. Providers predict that many will lose insurance under President Donald Trump’s upcoming work mandates even if they qualify for exemptions.
Listen: What To Do When Health Insurance Slips Out of Reach
2026 has been a challenging year to buy health insurance. Contributing factors include changes to the Medicaid program and hikes to the cost of Obamacare plans. But doctors and researchers say there are ways people without insurance can find affordable care.
Workers at top 20 US low-wage firms rely on public assistance, report says
Study finds workers at 20 S&P 500 firms rely on Medicaid and Snap as CEO pay and buybacks soar
CMS issues toolkit on behavioral health services for children in Medicaid, CHIP
The Centers for Medicare & Medicaid Services has released a toolkit that outlines strategies for states to strengthen access to behavioral health services for children enrolled in Medicaid and the Children’s Health Insurance Program.
Michigan paid consultants $2.9M for failed mental health redesign
Michigan paid McKinsey & Co. about $2.9 million to design a Medicaid behavioral health overhaul that a judge later struck down — hiring a firm the state had previously sued for its role in the opioid crisis.
Medicaid Coverage Supports Rural Patients, Hospitals, and Communities
One in seven Americans live in rural areas and rely on rural hospitals and health systems for the health and well-being of their communities.
Amid drastic Medicaid cuts, Ohio Department of Health director lays out rural program funding plans
How OB3 Medicaid Changes Affect Tribal Health Organizations
See how Tribal health organizations can plan for the financial impact of Medicaid cuts and eligibility requirements in the One Big Beautiful Bill Act (OB3).
Providence Oregon CEO Discusses “Joint Decision” With Insurer to Restrict Access to Specialty Care
More than 200,000 CareOregon Medicaid members in the Portland area can no longer get new referrals to most Providence Medical Group specialists. But the Providence Oregon CEO says the system and insurer could modify the arrangement if needed.
Burcum: Target Medicaid fraud, not innocent people’s health care
"Medicaid serves a highly vulnerable population with few alternatives for coverage," columnist Jill Burcum writes.
Medicare spending set to nearly double in 10 years and Medicaid and ACA spending up a third, CBO says, just as Trump’s tax cut shortens its lifespan
Medicare spending alone will nearly double over the next decade, but the CBO projects its underlying trust fund will run dry by 2040.
US: Trump administration pauses Minnesota health funds
US Vice President JD Vance has announced a halt in Medicaid health payments to Minnesota, a day after President Donald Trump put him in charge of a "war on fraud."
Trump Administration Prioritizes Affordability by Announcing Major Crackdown on Health Care Fraud
Today HHS announced new steps to crack down on fraud in Medicare and Medicaid to protect patients and taxpayers and improve affordability.
Medicaid Plays an Important Role in Providing Health Coverage to Key Populations
Medicaid ensures that people of all ages have access to the health care they need, covering 2 in 5 children, 1 in 6 non-elderly adults, and 1 in 7 seniors nationwide.
WA Democrats drop push for business tax to cover Medicaid costs
Washington Democrats are likely abandoning plans for a tax on employers like Walmart, whose workers get health care through Medicaid.
Lawmakers talk zoning changes, homeschooling: CT politics news
Plus: Talk of bans on non-disclosure agreements and sale-leasebacks of hospitals, Medicaid reimbursement rates and more.
A third patient has died after Idaho cut a Medicaid mental health service
A man in his 40s, who had severe mental illness and lived with his family in the Boise area, died recently after Idaho cut critical mental health services, according to a clinic owner who leads the local treatment team.
Bill allows Medicaid coverage for inmate mental health care
The bill will provide covered services within 90 days of release from prison or jail, and provide a 30-day supply of medication after release.
A third patient has died after Idaho cut a Medicaid mental health service
Idaho Medicaid contractor Magellan cut the service after provider pay cuts stemming from Gov. Brad Little's executive order.
Wisconsin poised to leave Arkansas as only state without expanded Medicaid for new moms
Wisconsin Republicans who long blocked a bipartisan measure to expand postpartum Medicaid coverage plan to pass the measure following pressure from Democrats
Colorado’s Medicaid crisis was years in the making
By Greg D’Argonne As the Joint Budget Committee meets to finalize spending decisions for the coming fiscal year, one truth should guide the conversation: Colorado’s health care budget strain did not appear overnight — and it is not the fault of hospitals, doctors, or any medical provider. Health care spending itself is at the heart […]
Baystate Health will no longer prescribe hormones to trans youth
Threats to federal funding for Medicaid and Medicare prompted the decision.
Colorado lawmakers must stem our health care cost crisis
By Ali Rakestraw I’m a family physician and lifelong Coloradan, and I’m watching a health care crisis unfold in real time. Every day, I see patients struggling to afford the care they desperately need — and it’s about to get much worse. The federal government has slashed Medicaid funding, let Affordable-Care-Act enhanced subsidies expire, and […]
Prosecutors: Colorado medical transportation businesses invoiced Medicaid for family trips, dead person
Two Colorado business owners have been separately charged for fraudulently billing the federal government's Medicaid program.
Oregon shelves Medicaid reform bill despite looming federal deadline for big changes
Lawmakers killed a bill to rewrite the Oregon Health Plan, but federal rules will require it to change anyway.
Dr. Oz pushes AI avatars as a fix for rural health care. Not so fast, critics say
Dr. Mehmet Oz, who heads the Centers for Medicare and Medicaid Services, is advancing a $50 billion plan to modernize rural health care.
Senior US health official Oz invited Epstein to Valentine's Day party, documents show
Dr. Mehmet Oz, President Donald Trump's administrator of the U.S. Centers for Medicare and Medicaid Services, emailed an invitation to a Valentine's Day party in 2016 to convicted sex offender Jeffrey Epstein, U.S. Justice Department documents show.