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The Latest Breaking News from Medicaid

Federal Prison Terms Handed Down in Kentucky Suboxone Clinic Case as the Last Defendant Is Sentenced

Three people were sentenced for a $4.8M fraud at Kentucky opioid clinics. Here is how patients can verify a treatment program is legitimate.

Medical Daily

Trump Officials Fight Court Bid To Exempt Terminally Ill Patients From Medicaid Work Requirements

A federal judge has allowed Medicaid work requirements to proceed, despite concerns they may force seriously ill individuals to prove their incapacity to retain health coverage.

International Business Times UK

Trump's Stricter Medicaid Rules Force Cancer Patients To Prove They Are Too Sick To Work

A US federal judge has upheld stricter Medicaid rules requiring documentation for exemptions, despite legal challenges and concerns over administrative burdens for patients with severe health conditions.

International Business Times UK

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Medicare Will Stop Requiring Nursing Homes to Report Staff COVID Vaccination Rates

CMS finalized a rule removing two COVID vaccination measures from nursing home quality reporting, changing what families can look up before choosing care.

Medical Daily

A Psoriasis Cream Is Now Approved for Children as Young as 2, and the Data Behind It Works Differently

The FDA expanded Zoryve cream 0.3% to children as young as 2 for plaque psoriasis. What the approval rests on and what parents should ask.

Medical Daily

A Two Mile Ambulance Ride Now Runs Closer to 25 Miles for Sturgis Residents

Sturgis Hospital closed in June, and ambulance runs that were two miles now run closer to 25. Here are the alternatives and what to plan for.

Medical Daily

UnitedHealth Just Gave Wall Street a Clearer Turnaround Signal

UnitedHealth Group's Q2 2026 results show improved margins, a lower medical cost ratio, and raised earnings guidance, signaling its turnaround from 2025's steep stock decline is gaining traction.

MarketBeat

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CMS Projects Its Own Medicaid Tax Rule Will Cut Federal Spending by $246 Billion

CMS actuaries estimate its proposed rule limiting Medicaid provider taxes would cut federal spending by $246 billion over ten years.

Medical Daily

Ro Khanna Slams Trump’s Tariffs, Iran Policy and Tax Breaks— Says 'Trumponomics' Is Hitting American Families With $3,500 More in Annual Costs

Rep. Ro Khanna (D-Calif.) accused President Donald Trump of increasing financial pressure on American households, claiming his administration’s policies have added thousands of dollars in annual costs for families.

Benzinga

Medicare Just Fined 14 Insurers as the Electronic Prior Authorization Deadline Approaches

CMS fined 14 Medicare plans $1.54 million and flagged prior authorization failures ahead of the January 2027 electronic exchange deadline.

Medical Daily

CMS Flags 50 Medicaid Providers in Data Sweep, Including Billing for Tests Patients Did Not Need

CMS says its Medicaid Fraud War Room flagged 50 providers and blocked $203 million. Here is what it means if your provider is on the list.

Medical Daily

Four States Now Activate Medicaid Before Jail Release as New Federal Law Pressures the Rest

Four states now enroll people in Medicaid before release from jail. H.R. 1 has forced three others to pause, and outcome data is not in yet.

Medical Daily

The Hospital That Delivers a Third of D.C.'s Babies Closed 11 Postpartum Beds Sunday

MedStar Washington Hospital Center closed a postpartum unit Sunday, cutting 11 beds. A council member cites 17 diversions this year.

Medical Daily

Four Men Admit Using ChatGPT to Fake Records in a $2.2 Million Minnesota Medicaid Scheme

Four Minnesota men pleaded guilty to a $2.2 million Medicaid fraud, using ChatGPT to fabricate records when insurers requested documentation.

Medical Daily

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Benzinga

Trump Administration Pulls the Plug on a Medicare Subsidy That Cut Drug Premiums— Oz Says the 'Bailout' Is Over as Seniors Brace for 2027 Hikes

The Centers for Medicare & Medicaid Services (CMS) announced Tuesday it will end the Medicare Part D Premium Stabilization Demonstration after the 2026 plan year, ending a federal subsidy program that has helped keep prescription drug premiums lower and could result in higher costs for some seniors beginning in 2027.

Medical Daily

A Mobile Vaccine Clinic Is Now Parking in Delaware County Neighborhoods Before Measles Arrives

Delaware County's Wellness on Wheels clinic is offering catch-up MMR doses before the school year as Pennsylvania measles cases hit a 30-year high.

The Conversation

Trump administration changes to ‘public charge’ rule could keep millions of immigrants – and their US citizen kids – from getting healthcare they need

Imagine this scenario: It is 2023, and a woman we’ll call Jessica and her husband, Pedro, make the difficult decision to leave Venezuela for the United States after they become targets of political repression. Soon after their arrival, they apply for asylum.

International Business Times UK

Taxpayers 'Subsidising Starvation Wages' as Amazon Spends $200bn on AI Whilst Food Stamps Triple

A US report reveals Amazon workers' SNAP enrolment has tripled since 2020, sparking criticism from Senator Sanders amidst the company's $200 billion AI investment plans.

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Medical Daily

Nebraska Has Been Running Medicaid Work Checks Since May. Every Other Expansion State Has Five Months.

Nebraska started Medicaid work checks in May. Forty other states and D.C. have until January, at roughly $15 million each. Who is ready?

Medical Daily

Federal Medicaid Work Rule Takes Legal Effect Friday as a Judge Weighs Whether to Pause It

The Medicaid work rule takes effect July 31, and CMS projects 2.3 million fewer enrollees in FY2027. What enrollees should check before August 31.

Medical Daily

Insurers Extended Their Vaccine Coverage Pledge Through 2027, But Parents Should Still Check Plan Documents This Fall

AHIP extended its no-cost vaccine pledge through 2027. Here is why it is not a legal guarantee and what parents should check at open enrollment.

Medical Daily

Denied Coverage For Wegovy Or Zepbound? Here Is What The Latest Value Assessment Says About Price And Access

Denied for Wegovy or Zepbound? A new value analysis explains why plans refuse coverage and what exceptions and appeals actually involve.

International Business Times UK

Medicaid Work Requirements Expansion Threatens 8 Million Impaired Adults, Study Warns

A study warns that expanding Medicaid work requirements could risk health coverage for 8 million impaired adults, highlighting the challenges faced by those unable to meet new criteria.

Medical Daily

ICER Finds Weight-Loss Drugs Cost-Effective, But Analysts Warn the Projected Savings Depend on Patients Staying On Them

ICER finds GLP-1s cost-effective for obesity, but analysts warn projected savings assume patients stay on treatment. What it means for coverage.

Medical Daily

CMS Projects Millions Fewer Medicaid Enrollees as Work Requirement Rule Takes Effect

CMS's Medicaid work requirement rule takes effect July 31. The agency projects 2.3 million fewer enrolled in 2027. What beneficiaries should do now.

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