Medicare & Medicaid Policy
Expert articles and analysis related to medicare & medicaid policy.
AI Summary — Last 30 Days
Over the past 30 days, CMS has accelerated value-based care transformation with the nationwide rollout of the voluntary ACCESS model, engaging 150 digital health companies and providers to link Medicare payments to chronic disease outcomes supported by technology, despite concerns over leaner payment rates versus traditional models (Healthcare IT News, Medical Economics). Simultaneously, CMS has proposed reviving and expanding the mandatory CJR bundled payment model (CJR-X) nationally, under the leadership of President Donald J. Trump, HHS Secretary Robert F. Kennedy Jr., and CMS Administrator Dr. Mehmet Oz.
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A new Healthcare Advisory Committee will offer non-binding recommendations on ways to strengthen Medicare Advantage sustainability, including modernizing risk adjustment and quality measurement, accor...
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Assessing Recent Regulatory Action On Medicare Advantage
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10M could lose Medicaid due to work requirements, more frequent eligibility checks: study
Between 5 million and 10 million people could be disenrolled due to cuts to the safety-net insurance program, depending on states’ mitigation strategies, according to the analysis.
Preserve Medicare Advantage
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Selected Diabetes and Weight Loss Drugs Were Dispensed to Michigan Medicaid Managed Care Enrollees in Accordance With Federal and State Requirements - Office of Inspector General (.gov)
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CMS Introduces the ASPIRE Model for Youth in Medicaid and CHIP
CMS Introduces the ASPIRE Model for Youth in Medicaid and CHIP HCI Innovation Group
Nebraska seeks to end retroactive Medicaid coverage. Hospitals say it will have ‘disastrous’ impact.
From newsletter: Weekly Health Policy Briefing 03/26/2026 Weekly Health Policy Briefing 03/26/2026 A pall over AHIP, managed care by default in Medicare, and retroactive Medicaid coverage. ...
Aetna Agrees to Pay $117.7 Million to Settle False Claims Act Allegations Over Medicare Advantage Upcoding
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