The Trump administration plans to reintroduce a 'most favored nation' drug pricing model for Medicare, aiming to align U.S. drug prices with lower international rates. This strategy faces industry opposition but could complement existing Medicare drug price negotiations to reduce costs.
House Republicans propose Medicaid funding caps that could reduce federal support, impacting state budgets and Medicaid coverage for millions, particularly in expansion states like California.
CMS's GUIDE Model is reshaping Medicare dementia care with home-based solutions, virtual nursing, and new respite care reimbursements to improve patient outcomes and reduce costs.
Updates on U.S. healthcare budget reconciliation delays, Medicaid policy debates, Medicare Advantage lawsuits, HHS budget for FY 2026, and new NIH research initiatives shaping insurance and healthcare regulation.
Summary of Medicare payment reductions used to fund Medicaid expansion under ACA, highlighting impact on hospital financial stability and Medicare's long-term obligations.
The 2024 Medicaid Eligibility and Enrollment rule enhances coverage continuity, reduces administrative burden, and strengthens program integrity by modernizing verification and enrollment processes. Potential repeal risks inefficiency and coverage gaps.
Explore the potential impacts of proposed federal Medicaid cuts on Washington state's healthcare system, rural hospitals, Medicaid beneficiaries, and state economy.
Explore the American Urological Association's 2025 advocacy priorities focused on Medicare payment reform, workforce expansion, prior authorization reforms, drug shortages, and AI integration in healthcare.
The Supreme Court evaluates the constitutionality of the HHS Secretary's power to appoint members of the U.S. Preventive Services Task Force, impacting federal health coverage mandates under the Affordable Care Act.
Misunderstandings about Medicaid enrollment persist due to state program branding and private insurer administration, complicating policy debates on federal funding cuts.
