With ICE using Medicaid data, hospitals and states are in a bind over warning immigrant patients

The Trump administration’s move to give deportation officials access to Medicaid data is putting hospitals and states in a bind as they weigh whether to alert immigrant patients that their personal ...

Senators Accuse Equifax of ‘Price-Gouging’ Medicaid Programs

The company’s data will be essential for many states to comply with new work requirements for the health insurance program ...

Medicare Costs Going Up in 2027? What the Changes Mean for You

We may only be one month into 2026, but the Centers for Medicare & Medicaid Services (CMS) is already planning the prices for ...

Suze Orman: The 2026 Social Security, Medicare trap is here

It's February 2026, and retired Americans counting on the new 2.8% Social Security cost-of-living adjustment (COLA) to give ...
STATOpinion

We helped create Medicare Advantage. Here’s how to fix it

Medicare Advantage is a vital program, and policymakers must focus on stabilizing the program over undermining it, write ...

Medicaid changes threaten Cincinnati Children's transgender clinic

Cincinnati Children’s hospital may soon have to face a tough decision: whether to close its Transgender Health Center or risk ...
Washington Monthly

CMS Takes Aim at Medicare Advantage Fraud

CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against ...
The American Journal of Managed Care

Use of Collaborative Care Grows Rapidly, Uneven Medicaid Coverage Drives State Gaps

Use of the Psychiatric Collaborative Care Model (CoCM) increased 26-fold nationally among commercially insured patients ...
Florida PoliticsOpinion

Mary Mayhew: Florida hospitals need fair Medicaid payments now

Mary C. Mayhew is president and CEO of the Florida Hospital Association.

Minnesota kicks off big push to inspect Medicaid providers

The state Department of Human Services will conduct unannounced site visits with 5,800 individual providers in the coming ...

Minnesota to reevaluate nearly 6,000 Medicaid service providers to combat fraud

The Minnesota Department of Human services says it is mobilizing 168 employees from other state agencies to examine and ...
The American Journal of Managed Care

Increased Payments to Medicare Advantage Plans for Dually Eligible Beneficiaries

Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...