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CMS bulletin summarizes Medicaid, CHIP provisions from budget reconciliation bill
The Centers for Medicare & Medicaid Services released a bulletin Nov. 18 summarizing provisions from the budget reconciliation bill related to Medicaid and the Children’s Health Insurance Program.
Survey finds Medicaid enrollment fell in FY 2025, expects flattening in 2026, while spending increases
Medicaid enrollment decreased 7.6% in fiscal year 2025 and is expected to be mostly flat in FY 2026, according to KFF’s annual Medicaid Budget Survey released Nov. 13.
CMS launches payment model for state Medicaid programs to purchase drugs at most-favored-nation pricing
The Centers for Medicare & Medicaid Services is launching a new initiative for state Medicaid programs to purchase prescription drugs at prices aligned with those paid in other countries, known as most-favored-nation pricing.
White House announces deals with Eli Lilly, Novo Nordisk to lower drug costs
The White House announced today that it reached agreements with Eli Lilly and Novo Nordisk to align their drug prices with the lowest paid by other developed nations, known as the most-favored-nation price.
Improving Maternal Outcomes Starts with Knowing Why
According to the CDC, 80% of pregnancy-related deaths can be prevented; that’s a 20% increase from previous years. Know why? That’s the theme for today’s Maternal Health Awareness Day – Know Why. Maternal Health Awareness Day, Jan. 23, shines a light on the many complex factors contributing to maternal health deaths and amplifies promising initiatives to combat the rising rates of maternal morbidity and mortality.
HHS authorizes five states to provide health care coverage for people transitioning out of incarceration
The Department of Health and Human Services July 2 announced it will provide Medicaid and Children's Health Insurance Program coverage to incarcerated people in Illinois, Kentucky, Oregon, Utah and Vermont prior to release.
OIG says MA, Medicaid managed care plans have limited, inaccurate behavioral health provider networks
A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans offer access to a limited proportion of behavioral health providers, and inaccurately list 72% of in-network behavioral health care providers as being available.
Study finds Medicaid beneficiaries most likely to lose coverage due to work requirements have worse health
A JAMA study published yesterday analyzed the health characteristics of individuals projected to lose Medicaid coverage due to work requirements included in the budget reconciliation bill (H.R. 1).
CMS releases updated guidance to states on federal financing for emergency Medicaid services
The Centers for Medicare & Medicaid Services Sept. 30 released guidance to states clarifying its interpretation of a provision that authorizes federal financing to pay for emergency Medicaid services for undocumented patients ineligible for full Medicaid benefits.
Bipartisan letter urges House leadership to halt Medicaid DSH cuts
A bipartisan House letter by Reps. Dan Crenshaw, R-Texas, Yvette D. Clarke, D-N.Y., Gus M. Bilirakis, R-Fla., and Diana DeGette, D-Colo., urged House leadership to prevent reductions to the Medicaid Disproportionate Share Hospital program that are scheduled to take effect Oct. 1.