Medicaid
Expert articles and analysis related to medicaid.
AI Summary â Last 30 Days
Over the past month, strategic shifts in Medicaid policy are emerging as states inch closer to implementing work requirements, reflecting a growing trend towards aligning Medicaid with traditional labor market structures. Simultaneously, CMS is focusing on expanding value-based care initiatives, with the recent CMS investment of $840 million to promote healthcare reform indicating a shift towards integrating value-based models more robustly within the Medicaid framework, which will impact ACOs and payers alike. As reimbursement structures evolve, the tension between traditional fee-for-service and emerging accountable care models will be critical for stakeholders navigating these transformative changes in care delivery.
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Florida Hasnât Expanded Medicaid. Lawmakers Want To Add Work Requirements Anyway.
Florida is not mandated to add work requirements for Medicaid, because the state has not expanded eligibility to more low-income adults. But lawmakers have proposed requiring some adults in the stateâ...
House E&C Committee leaders expand Medicaid fraud investigation
House E&C Committee leaders expand Medicaid fraud investigation  American Hospital Association
Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements Implementation Questions
A list of the implementation questions relating to the Medicaid work requirements in the 2025 Reconciliation law.
Medicaid Workers and Job-Based Insurance: Who Is Offered, Eligible, and Enrolled?
Most adult Medicaid enrollees who will be subject to new work requirements are already working but rely on Medicaid because their employers do not offer health coverage or they are not eligible for th...
Neighborhood Opportunities and Pediatric Health Care Utilization: Implications for Medicaid Managed Care
Trumpâs Cuts to Medicaid Threaten Services That Help Disabled People Live at Home
Iowa patient advocates say that in the face of federal Medicaid cuts, the state is quietly reducing in-home services that help people avoid being institutionalized. National groups are bracing for sim...
How States Verify Citizenship and Immigration Status in Medicaid
This brief describes federal citizenship and immigration status eligibility and eligibility verification requirements for Medicaid. Eligibility for federally-funded coverage under Medicaid and the Chi...
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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...