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Results for " Medicaid " 1,011 found 🔀 AI-powered Shuffle

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.

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Jun 16 • 7:40 PM EDT • Health • healthexec.com
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 ...

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Jun 16 • 6:15 PM EDT • Health • usnews.com
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

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Jun 16 • 12:00 PM EDT • Politics • spectrumlocalnews.com
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.

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Jun 16 • 9:26 AM EDT • Health • kff.org
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.

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Jun 16 • 8:00 AM EDT • Health • hklaw.com
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.

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Jun 16 • 5:00 AM EDT • Health • kffhealthnews.org
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

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Jun 15 • 2:30 PM EDT • Health • advocacy.sba.gov
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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.

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Jun 15 • 11:30 AM EDT • Health • fiercehealthcare.com
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.

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Jun 15 • 11:29 AM EDT • Health • aha.org
Where ‘democracy met science,’ 50 years ago

State Medicaid crackdowns strain home care, WHO leader on Ebola outbreak, and more health news

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Jun 15 • 7:56 AM EDT • Health • statnews.com
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.

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Jun 14 • 3:41 PM EDT • Business • wsbtv.com
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.

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Jun 14 • 6:00 AM EDT • Business • startribune.com
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.

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Jun 12 • 10:16 AM EDT • Health • mha.org
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.

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Jun 12 • 10:15 AM EDT • Health • milbank.org
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.

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Jun 11 • 2:14 PM EDT • Health • newhampshirebulletin.com
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.

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Jun 11 • 10:19 AM EDT • Health • aha.org
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.

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Jun 11 • 6:34 AM EDT • Politics • paulkrugman.substack.com
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.

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Jun 11 • 4:23 AM EDT • Health • northcarolinahealthnews.org
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.

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Jun 10 • 5:22 PM EDT • Health • wfyi.org
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.

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Jun 10 • 4:13 PM EDT • Health • ctdatahaven.org
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.

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Jun 10 • 2:42 PM EDT • Health • news.berkeley.edu
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.

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Jun 10 • 6:00 AM EDT • Health • latimes.com
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.

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Jun 10 • 5:00 AM EDT • Health • kffhealthnews.org
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.

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Jun 10 • 12:13 AM EDT • Health • umassmed.edu
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.

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Jun 9 • 8:00 AM EDT • Health • michiganmedicine.org
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.

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Jun 9 • 8:00 AM EDT • Health • uofmhealth.org
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.

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Jun 9 • 4:30 AM EDT • Health • statnews.com
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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.

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Jun 8 • 8:02 PM EDT • Health • news5cleveland.com
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.

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Jun 8 • 7:00 AM EDT • Health • forbes.com
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.

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Jun 6 • 12:00 PM EDT • Politics • cnn.com
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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.

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Jun 6 • 7:00 AM EDT • Health • cvillerightnow.com
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...

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Jun 5 • 8:20 PM EDT • Health • reviewjournal.com
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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

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Jun 5 • 7:10 PM EDT • Health • homehealthcarenews.com
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.

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Jun 5 • 5:28 PM EDT • Health • news3lv.com
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.

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Jun 5 • 1:51 PM EDT • Health • ctmirror.org
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.

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Jun 5 • 5:00 AM EDT • Health • kffhealthnews.org
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.

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Jun 4 • 2:13 PM EDT • Health • mha.org
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 ...

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Jun 4 • 6:30 AM EDT • Health • usnews.com
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.

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Jun 4 • 5:28 AM EDT • Health • nutritioninsight.com
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.

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Jun 4 • 4:00 AM EDT • Health • wisconsinexaminer.com
Medicaid termination letters leave South Florida behavioral health patients and therapists in limbo
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Jun 3 • 8:15 PM EDT • Health • cbsnews.com
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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.

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Jun 3 • 5:35 PM EDT • Politics • spectrumnews1.com
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.

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Jun 3 • 5:35 PM EDT • Politics • spectrumnews1.com
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 ...

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Jun 3 • 5:18 PM EDT • Health • usnews.com
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.

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Jun 3 • 2:25 PM EDT • Health • npr.org
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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…

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Jun 3 • 11:52 AM EDT • Health • portcitydaily.com
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.

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Jun 3 • 4:30 AM EDT • Health • statnews.com
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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.

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Jun 3 • 1:45 AM EDT • Health • wbur.org
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.

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Jun 2 • 4:19 PM EDT • Health • achi.net
'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.

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Jun 2 • 3:15 PM EDT • Health • fastcompany.com
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

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Jun 2 • 8:19 AM EDT • Health • statnews.com
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

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Jun 1 • 8:00 PM EDT • Health • now.tufts.edu
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.

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Jun 1 • 5:24 PM EDT • Health • paragoninstitute.org
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.

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Jun 1 • 3:31 PM EDT • Health • milbank.org
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.

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May 31 • 5:30 AM EDT • Health • wral.com
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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.

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May 29 • 4:45 PM EDT • Health • kqed.org
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

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May 28 • 11:47 AM EDT • Health • bipartisanpolicy.org
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 […]

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May 28 • 8:00 AM EDT • Health • modernmedicaid.org
$775 billion, $1.2 billion, and $38k

Medicaid cuts stemming from Republicans' 2025 tax law are expected to be even bigger than forecast.

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May 26 • 12:11 PM EDT • Health • statnews.com
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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.

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May 25 • 3:49 PM EDT • Health • wlos.com
Kentucky Voices for Health advocates for equitable healthcare policies

Kentucky Voices for Health advocates for equitable healthcare policies and protects programs like Medicaid.

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May 25 • 11:11 AM EDT • Health • spectrumnews1.com
Kentucky Voices for Health advocates for equitable healthcare policies

Kentucky Voices for Health advocates for equitable healthcare policies and protects programs like Medicaid.

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May 25 • 11:11 AM EDT • Health • spectrumnews1.com
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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.

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May 23 • 5:00 AM EDT • Health • nytimes.com
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.

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May 22 • 7:27 PM EDT • Business • fox9.com
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Massachusetts preps for Medicaid work requirement: 300K at risk

Vulnerable state residents will face new guidelines and restrictions in the coming year.

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May 21 • 5:30 AM EDT • Health • bostonglobe.com
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.

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May 20 • 7:37 PM EDT • Health • opb.org
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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.

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May 20 • 7:37 PM EDT • Business • opb.org
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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…

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May 20 • 3:40 PM EDT • Health • mha.org
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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.

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May 19 • 1:31 PM EDT • Health • kff.org
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.

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May 17 • 7:00 AM EDT • Health • sfexaminer.com
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.

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May 17 • 7:00 AM EDT • Politics • sfexaminer.com
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.”

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May 16 • 5:31 AM EDT • Health • courant.com
CMS Updates Medicaid Child Health Guidance

This compilation of guidance serves as a technical assistance tool for state EPSDT staff.

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May 15 • 3:58 PM EDT • Health • essentialhospitals.org
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.'

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May 15 • 1:44 PM EDT • Politics • foxbusiness.com
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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.

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May 15 • 12:56 PM EDT • Health • pressherald.com
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.

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May 15 • 5:00 AM EDT • Politics • cnn.com
Deep dive
😐 Neutral (3%)
wow
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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.

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May 15 • 5:00 AM EDT • Health • ctmirror.org
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.

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May 14 • 7:49 PM EDT • Health • abc15.com
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.

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May 14 • 7:10 PM EDT • Health • calmatters.org
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😐 Neutral (21%)
wow
39%
love
37%
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Mainers react to Vice President JD Vance’s Bangor visit

In March, President Donald Trump signed an executive order establishing a “task force to eliminate fraud” targeting state Medicaid programs. Vance is leading that task force.

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May 14 • 3:12 PM EDT • Politics • spectrumlocalnews.com
I couldn't afford elder care for my mom. Free adult day care helped.

Natalie Tucker says her mother's falls and memory loss made caregiving overwhelming until she found a Medicaid-supported adult day care program.

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May 14 • 11:58 AM EDT • Business • businessinsider.com
CMS announces first 30 health care organizations to join electronic prior authorization initiative

The Centers for Medicare & Medicaid Services May 13 announced 30 health care organizations have pledged early participation in its electronic prior authorization initiative.

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May 14 • 10:15 AM EDT • Health • aha.org
A Look at New or Expanded Medicaid and Public Health Partnerships from 2025: Findings from A Survey of State Medicaid Programs

To improve understanding of Medicaid / Public Health agency partnerships, the 25th annual Medicaid budget survey, conducted by KFF and Health Management Associates (HMA) in collaboration with the National Association of Medicaid Directors (NAMD), asked state Medicaid directors about new or enhanced initiatives involving public health implemented in FY 2025 or planned for FY 2026

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May 14 • 9:00 AM EDT • Health • kff.org
How the WSJ Deciphered Trump’s Truth Social Behavior | WSJ Politics Newsletter for May 14

Plus, the president considers 250 new pardons to mark America’s 250th birthday, and JD Vance goes to war on Medicaid fraud.

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May 14 • 6:59 AM EDT • Politics • wsj.com
Trump demands Medicaid data for deportation. Some states go a step further.
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May 14 • 5:00 AM EDT • Health • cbsnews.com
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Vanderbilt Health Hospitals receive Centers for Medicare & Medicaid Services Five-Star Overall Quality Ratings

These hospitals were awarded Five-Star ratings for overall quality of care for 2026, placing Vanderbilt Health’s hospitals among the top 12% in the nation for overall performance.

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May 13 • 5:59 PM EDT • Health • news.vumc.org
Lawmakers & Trump Admin. Officials Discuss The Advancement of Health Care

Lawmakers and top Trump Administration officials, including Sen. Roger Marshall (R-KS) and Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz, participate in discussions on U.S. advancement in health care.

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May 13 • 2:00 PM EDT • Health • c-span.org
CMS announces 6-month enrollment moratorium on home health and hospice providers

The Centers for Medicare & Medicaid Services today announced a six-month nationwide moratorium preventing enrollment of new home health agencies and hospice providers, effective immediately. CMS said that the moratorium is part of Vice President JD Vance’s Anti-Fraud Task Force and that the agency will use this time to intensify anti-fraud efforts within the sector.

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May 13 • 12:42 PM EDT • Health • aha.org
Trump administration pauses new hospice and home health providers’ enrollment in Medicare

The Centers for Medicare and Medicaid Services announced Wednesday that it is placing a six-month moratorium on new enrollment of health providers in Medicare — its latest effort to combat what it says is widespread fraud among hospice and home health providers.

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May 13 • 12:41 PM EDT • Health • cnn.com
Deep dive
☹️ Negative (-2%)
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54%
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Trump administration pauses new hospice and home health providers’ enrollment in Medicare

The Centers for Medicare and Medicaid Services announced Wednesday that it is placing a six-month moratorium on new enrollment of health providers in Medicare — its latest effort to combat what it says is widespread fraud among hospice and home health providers.

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May 13 • 12:41 PM EDT • Politics • cnn.com
Deep dive
☹️ Negative (-2%)
wow
54%
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Medicare halts enrollment of new hospice, home health providers

The Centers for Medicare and Medicaid Services said it will pause the enrollment of new hospice and home health providers.

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May 13 • 11:17 AM EDT • Health • statnews.com
Trump administration freezes new Medicare enrollments for hospice and home health agencies

The Trump administration is expanding its fraud-busting initiative in federal health programs. On Wednesday, it announced a nationwide six-month freeze on new Medicare enrollments by hospice and home health agencies. The Centers for Medicare and Medicaid Services says the moratorium will help prevent fraud and protect vulnerable patients. The initiative was spurred by Vice President JD Vance's anti-fraud task force. Several alleged fraud schemes have been prosecuted in the hospice and home health care categories, and states have acknowledged it's a legitimate concern. But some have pushed back on the administration’s aggressive tactics and raised concerns about punishing law-abiding providers that are trying to serve patients.

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May 13 • 10:41 AM EDT • Health • kstp.com
Vance to States: Address Fraud or Lose Federal Medicaid Funding

The Trump administration is set to launch audits of state watchdogs responsible for ferreting out wrongdoing.

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May 13 • 10:00 AM EDT • Politics • wsj.com
HHS launches competition to support community care hubs working with health care providers

The Department of Health and Human Services Administration for Community Living has launched the first phase of its Health at Home Challenge, a competition to support community care networks that have partnered with health care providers supporting dually eligible Medicare and Medicaid beneficiaries.

aha.org logo
May 12 • 11:20 AM EDT • Health • aha.org
Shapiro Administration Highlights Governor’s Proposed Budget Investments Using Healthy Meals to Support Better Health for Medicaid Recipients

Shapiro Administration Highlights Governor’s Proposed Budget Investments Using Healthy Meals to Support Better Health for Medicaid Recipients

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May 12 • 8:00 AM EDT • Health • pa.gov
Health Officials Say "Country is Prepared" to Deal with Hantavirus

Centers for Medicare and Medicaid Services Administrator Dr. Oz tells reporters in the Oval Office that the country is prepared to deal with the Hantavirus outbreak and treat the disease, despite cuts to federal agencies. HHS Secretary Robert F. Kennedy also says the CDC has been on it from day one and has been in contact with officials in Nebraska dealing with people exposed to the virus. "We have this under control, and we're not worried about it," Kennedy says. The secretary also disputes that it took four days after the World Health Organization issued an alert for the U.S. to follow suit. "It's just not true," he says.

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May 11 • 12:36 PM EDT • Health • c-span.org
Report: Latinos face 'unprecedented' health coverage losses amid cuts to Medicaid, ACA

The state with the nation's second highest number of uninsured — 858,000 Latinos — is Florida, according to the report. More than 71 million people with low incomes rely on Medicaid, which expanded under the Affordable Care Act.

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May 10 • 7:39 AM EDT • Health • wusf.org
Meeting Families Where They Are: How Medicaid Can Strengthen Children’s Health Through Community Health Workers

Visit the post for more.

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May 8 • 12:39 PM EDT • Health • ccf.georgetown.edu
Staten Island nursing home sues New York’s Department of Health

Medicaid reimbursement for nursing home patients in New York is based on 2007 costs.

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May 7 • 6:29 PM EDT • Health • ny1.com
Scoop: Atar Capital selling behavioral health provider Clarvida

It's one of several Medicaid-reliant care companies in market as federal funding and policy changes pressure state programs.

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May 7 • 2:59 PM EDT • Health • axios.com
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