The new Medicaid work rules in President Trump's tax-and-spending law put states on a tight timetable for setting up systems to notify millions of recipients about the requirements — and to track if they're complying. Previous efforts to set work rules in Georgia and Arkansas showed it could be a messy and expensive process that generally relies on outside vendors to set up the necessary infrastructure.
President Donald Trump's spending bill is set to raise administrative costs and make managing costs more difficult for insurers like UnitedHealthcare and CVS Health's Aetna that operate Medicaid health plans, experts say. As a result, those insurers will likely pull back their Medicaid coverage and invest more in existing markets to retain their healthier members, experts said.
Hospitals are bracing for the impact from the Medicaid cuts in President Trump's sweeping spending and tax cut law. While most of the cuts won’t happen immediately, rural facilities in particular say they likely will have to make difficult financial decisions about which services they can afford to keep and which may need to be cut.
Lawmakers are likely to hear more in the coming months about the impacts on their local hospitals. The industry has always been a powerful one in Washington since hospitals care for lawmakers' constituents and also employ many of them.
DOJ questioned former UnitedHealth doctors as it investigates claims that the health insurance giant pushed staffers to make diagnoses that triggered higher Medicare payments, according to a report. The investigation, which dates back to at least last summer, concerns alleged efforts to encourage staffers to record certain diagnoses that trigger higher payments under Medicare Advantage, The Wall Street Journal reported. Investigators for the DOJ, FBI, and HHS have been asking for details on patient testing, procedures used to reach certain diagnoses and the process of sending nurses to patients' homes, according to former UnitedHealth employees.
Despite concerns circulating about the future of Baystate Franklin Medical Center after the passage of the so-called One Big Beautiful Bill Act that cuts roughly $1.1 trillion in health care spending, Baystate Health's chief financial officer advises the Greenfield hospital is not at risk of closure.