Medicare & Medicaid Programs
Expert articles and analysis related to medicare & medicaid programs.
AI Summary — Last 24 Hours
Medicaid work/community-engagement requirements are again the flashpoint for coverage stability and care-continuity risk, with physician groups backing a new legal challenge to the work rule while implementation guidance from state experience underscores administrative churn, exemption complexity, and likely disenrollment risk for Medicaid managed care and population health programs. At the same time, Centene’s Q3 update signals improving Medicare economics—management now expects its Medicare business to break even a year earlier than planned—but its 6,000-person workforce reduction points to continued margin pressure in Medicaid/MA operations and potential operational strain for network, care management, and quality teams. Key reads: AMA on the Medicaid work-rule challenge and Healthcare Dive on Centene’s recovery and layoffs.
Related Articles
Considerations for Implementation of Medicaid Community Engagement Requirements
Lessons from Five States ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌...
Physician organizations back new challenge to Medicaid work rule - American Medical Association | AMA
Physician organizations back new challenge to Medicaid work rule  American Medical Association | AMA
Why physicians are fighting the Medicaid work rule
How The PACE Access Improvement Act Could Unlock Home-Based Care Growth
When caring for Medicaid patients hurts the bottom line
When caring for Medicaid patients hurts the bottom line  KevinMD.com
In Ga., Health Insurers File Challenges to Medicaid Rating Requirements
In Ga., Health Insurers File Challenges to Medicaid Rating Requirements  Law.com
When caring for Medicaid patients hurts the bottom line
When caring for Medicaid patients hurts the bottom line  KevinMD.com
Midterm Election Update: Immigrant Health Policy
Immigration restrictions and enforcement are central to the Trump administration’s domestic agenda and a focus of debate in the 2026 midterm elections. These policies have ripple effects on health car...
Centene 'right on track' for Medicaid but reports $71M loss in Q3
Centene 'right on track' for Medicaid but reports $71M loss in Q3Â Â Healthcare Finance News
The Cost Of Disruption - open minds
The Cost Of Disruption  open minds