CMS
publication date
Payer
States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
Katie Crouch says calling her state?s Medicaid agency to get information about her benefits can feel like a series of...
Payer
CMS' Medicare Advantage Final Rule Raises Stakes for Payers, Providers
A stronger-than-expected rate increase benefits health plan funding, but updates to the star ratings system aims to create more incentive...
Payer
States Pay Deloitte, Others Millions to Comply with Trump Law to Cut Medicaid Rolls
In five states, estimates reviewed by KFF Health News show that changes will cost at least $45.6 million combined.
Payer
Evidence Shows ACA's Mandated Benefits Alone Don't Drive Up Costs. The Debate Continues.
Without enhanced subsidies, the amount people pay toward monthly Obamacare premiums doubled, on average.
Payer
Medicare Advantage 'Dark Money' Group Attempts to Win Higher Payments for Insurance Companies
The group does not reveal its funders or much else, other than to say it is 'dedicated to protecting and...
Payer
FL Hasn't Expanded Medicaid. Lawmakers Want to Add Work Requirements Anyway.
In states that have long refused to expand Medicaid to more low-income adults, people in the program aren't subject to...
HLM Exchange
Payment Cuts, Lost Trust, and a Broken Model: Why Hospitals Face a New Reality
Hospitals have absorbed cuts before, but OBBBA signals a deeper reckoning, one that exposes a broken business model, eroding trust,...
Payer
Clinics Sour on CMS After Agency Scraps 10-Year Primary Care Program Only Months In
As part of Trump's DOGE's cuts, CMS shuttered Making Care Primary, one year into what was supposed to be a...
Payer
Trump Team's Planned ACA Rule Offers Its Answer to Rising Premium Costs: Catastrophic Coverage
The proposed changes are part of a lengthy rule that addresses a broad swath of standards.
Payer
New Medicaid Work Rules Likely To Hit Middle-Aged Adults Hard
Adults ages 50 to 64, particularly women, are likely to be hit hard by the new rules.
CFO
The Crucial MA Crossroads, and How CFOs Are Taking the Wheel
As CMS reins in Medicare Advantage payments and provider tensions rise, CFOs are rethinking MA strategy, risk exposure, and long-term...
Technology
Proposed Budget Bill Extends Telehealth, Hospital at Home Flexibilities Again
Congress is moving toward a vote on a funding package that would, among other things, extend COVID-era telehealth waivers through...