Pfizer Engages with U.S. Government on Drug Pricing Policy Discussions
Pfizer and other pharmaceutical firms have discussed most-favored-nation drug pricing with the U.S. government, highlighting potential impacts on insurance and payer strategies.
Medicaid Cuts and Medicare Fraud Pose Risks to U.S. Military Families and Vulnerable Populations
Medicaid funding cuts threaten military families and vulnerable populations; fraud in Medicare costs billions annually. Missouri invests in tornado recovery amid budget debates.
Bill Proposes Physician-Led Prior Authorization to Reduce Care Delays
The Reducing Medically Unnecessary Delays in Care Act of 2025 aims to ensure physicians make prior authorization decisions under Medicare, addressing care delays caused by non-medical reviews and insurer denials.
Medicaid Expansion Under ACA Boosts Dental Visits for Foreign-Born Without Raising Costs
Study finds ACA Medicaid expansion increases dental visits among foreign-born U.S. residents, controlling costs. Key insights for healthcare policy and Medicaid dental benefits.
US House Budget Proposal Threatens Connecticut Medicaid and ACA Coverage
The US House budget bill proposes Medicaid cuts and ACA work requirements that could cause 140,000 Connecticut residents to lose coverage, raising uninsured rates and healthcare costs.
Key Medicare Reforms in Proposed Domestic Policy Bill Impact Payments and Coverage
Discover how proposed domestic policy legislation may reduce Medicare payments, expand HSA eligibility for employed seniors, and enhance rural hospital designations, reshaping Medicare coverage and funding starting 2026.
Washington Medicaid Could Lose 274,000 Insured Under Proposed Federal Cuts
Proposed federal tax and spending bill could cut Medicaid and ACA subsidies in Washington, potentially affecting over 274,000 insured residents and threatening healthcare access in rural areas.
Diabetes-Fueled Kidney Failure Crisis Drives Soaring Medicare Costs
Explore how rising diabetes-driven kidney failure is escalating Medicare costs and straining transplant resources, highlighting the need for early intervention and Medicaid's critical role.
CMS Increases Oversight to Prevent Improper Medicaid Spending on Noncitizens
CMS ramps up oversight to stop misuse of Medicaid funds for noncitizen coverage, enforcing federal eligibility rules and recouping improper spending.
Upcoming Medicare Changes in Domestic Policy Megabill Impact Coverage and Payments
The pending domestic policy bill proposes significant Medicare payment cuts, expanded HSA contributions post-Medicare enrollment, rural hospital classifications, and tightened eligibility rules, impacting coverage and payment structures.