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Tag: Healthcare Policy

CMS GUIDE Model Transforms Medicare Dementia Care with Home-Based Focus

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.

U.S. Healthcare Budget Reconciliation Delayed Amid Medicaid, Medicare, and HHS Oversight Developments

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.

Medicare Cuts Fund Medicaid Expansion Under ACA, Impacting Hospital Finances

Summary of Medicare payment reductions used to fund Medicaid expansion under ACA, highlighting impact on hospital financial stability and Medicare's long-term obligations.

Medicaid Eligibility and Enrollment Rule Advances Program Integrity and Coverage

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.

Impact of Proposed Federal Medicaid Cuts on Washington State Healthcare and Economy

Explore the potential impacts of proposed federal Medicaid cuts on Washington state's healthcare system, rural hospitals, Medicaid beneficiaries, and state economy.

AUA 2025 Advocacy Priorities: Medicare Reform, Workforce, AI, and Drug Shortages

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.

Supreme Court Reviews Constitutionality of HHS Preventive Services Task Force Appointment Power

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.

Medicaid Coverage Awareness Lags Amid Growing Role of Private Plans and State Branding

Misunderstandings about Medicaid enrollment persist due to state program branding and private insurer administration, complicating policy debates on federal funding cuts.

Medicare Primary Care Shifts Toward Hospital and Multispecialty Practices

Study shows Medicare primary care visits shifting from physician offices to hospital-affiliated and multispecialty practices, influenced by ACA funding and Medicare reimbursement policies.

Aetna Exits ACA Marketplaces as CMS Launches Fraud Center and Milken Advances Women's Health

Aetna plans ACA marketplace exit in 2026 as CMS launches a new fraud center. Milken Institute forms Women's Health Network amid healthcare system shifts.