Medicaid Policy
Expert articles and analysis related to medicaid policy.
AI Summary â Last 30 Days
Over the past 30 days, significant shifts in Medicaid policy have emerged as states inch closer to implementing work requirements, demonstrating a potential pivot towards stricter eligibility and engagement criteria that could significantly influence access to care. Concurrently, the Centers for Medicare & Medicaid Services (CMS) rolled out the WISeR program aimed at reducing fraud through technology-driven prior authorization, reflecting an ongoing commitment to enhancing program integrityâan element crucial for value-based care initiatives. As health systems grapple with these evolving dynamics, understanding the implications of both the changing work rules and CMS's regulatory measures will be vital for aligning strategic objectives within value-based care frameworks and optimizing population health management efforts Medicaid Waiver Tracker and WISeR Program Implementation.
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The One Big Beautiful Bill Act, enacted on July 4, 2025, established the first nationwide Medicaid work requirement, replacing prior state-specific Section 1115 demonstrations with a uniform federal s...
Amid fast-moving Medicaid changes, CMS vet offers providers and states advice
Hospitals and health systems are operating in a Medicaid environment defined by pressure, complexity and responsibility. Reimbursement remains constrained, administrative requirements continue to grow...
Minnesota sues CMS over Medicaid funding deferral
Minnesota Attorney General Keith Ellison and the Minnesota Department of Human Services have sued the Centers for Medicare and Medicaid Services and the Department of Health and Human Services for wit...
Health policy roundup: Minnesota sues over federal pause in Medicaid funding
Health policy roundup: Minnesota sues over federal pause in Medicaid funding  Advisory Board
CMS releases Medicaid billing data to expand fraud oversight
The Trump administrationâs ongoing push to address fraud in government healthcare programs includes the release of a massive data set showing Medicaid billing patterns of individual providers. With mo...
A Look at the Intersection of SNAP and Medicaid as States Implement Medicaid Work Requirements
This brief describes the intersection between Medicaid and SNAP and discusses how information from SNAP may be leveraged by states when implementing the new Medicaid work requirements.