Medicaid Programs
Expert articles and analysis related to medicaid programs.
AI Summary — Last 7 Days
CMS is pushing Medicaid VBC activity on two fronts: extending the GENEROUS Model deadline after strong manufacturer interest, signaling continued Trump administration focus on state–pharma Medicaid drug pricing arrangements, and advancing proposed 2028 HCBS quality measures that would raise expectations for home- and community-based services accountability. For health systems, Medicaid MCOs, and state partners, the pattern is a tighter link between payment flexibility and measurable outcomes—especially in drug spend, pediatric value-based partnerships, and HCBS quality infrastructure—while operational burden and data readiness remain the central tensions. See: GENEROUS deadline extension and proposed 2028 HCBS quality measures.
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States and hospitals prepare for new administrative tasks as Medicaid work requirements loom
Efforts by states to implement the Medicaid work requirement are intensifying, with hospitals likely to play a supporting administrative role when the requirement begins nationwide Jan. 1, 2027, based...
How states are planning to implement Medicaid work requirements: survey
Most states are planning to adopt less restrictive policies to verify compliance with work requirements mandated by the “Big Beautiful Bill,” but some are implementing the policies early or checking e...
Nebraska rolls out Medicaid work requirements, putting tens of thousands at risk of coverage losses
The Cornhusker State is the first to roll out work requirements under the GOP’s “Big Beautiful Bill,” well in advance of the law’s 2027 deadline. Between 20,000 and 40,000 people are expected to lose ...
CMS mandates state Medicaid directors to validate providers
Centers for Medicare & Medicaid Services Administrator Mehmet Oz has sent state Medicaid directors a letter mandating they submit a plan within 30 days on a two-year provider revalidation strategy.CMS...
Medicaid Managed Care Plan Alignment With State Substance Use Disorder Treatment Coverage Requirements | Milbank Quarterly | Milbank Memorial Fund
Medicaid is the largest payer of substance use disorder (SUD) treatment in the United States. Managed care plays an important role, administering benefits for more than 80% of Medicaid enrollees. Whil...
NBC News: Nebraska Rolls Out Medicaid Work Requirements, Putting Thousands At Risk Of Losing Coverage
From newsletter: First Edition: Monday, May 4, 2026 First Edition: Monday, May 4, 2026 Get your first pass at the day's top health care policy news. ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏...
Politico: Some Red States Expanded Medicaid Against Their Will. Now They're Trying To Shrink It With Work Rules
From newsletter: First Edition: Monday, May 4, 2026 First Edition: Monday, May 4, 2026 Get your first pass at the day's top health care policy news. ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏ ͏...
What Happens When Coverage Is Cut? Looking Backward and Forward From the One Big Beautiful Bill | Milbank Quarterly | Milbank Memorial Fund
The so-called One Big Beautiful Bill Act signed into law by President Trump on July 4, 2025 will cut $1 trillion from federal health care programs over the coming decade and cause 10 million individua...
5. 1st state enacts Medicaid work rules under HR 1
5. 1st state enacts Medicaid work rules under HR 1 - Becker's Hospital Review Becker's Hospital Review