Prescription drug denials by private insurers rise 25% (2016-2023). Sarepta gene therapy linked to patient deaths. ICE gains Medicaid data access. ACA insurers seek 2026 rate hikes. Implications for U.S. insurance, regulatory compliance, and patient access.

Georgia's Pathways Medicaid program exposes operational and financial challenges of Medicaid work requirements, highlighting implications for state Medicaid policies and federal compliance.

Federal legislation extending tax breaks for the wealthy leads to significant Medicaid, SNAP, and education funding cuts in Rhode Island, prompting calls for state-level tax reforms and strategic responses.

New budget bill cuts nearly $1 trillion from Medicaid, introducing work requirements and reducing coverage for chronic pain patients. States face complex implementation challenges impacting healthcare access and insurance markets.

New Medicaid work requirements nationwide threaten coverage losses; states like New Jersey face administrative challenges to minimize impact and ensure compliance.

Colorado faces a 28% health insurance premium increase driven by federal Medicaid cuts and market instability, impacting coverage affordability and rural healthcare access.

The New Jersey Supreme Court upheld the state's charity care law requiring hospitals to treat indigent patients despite major declines in state funding. Hospitals face financial challenges amid Medicaid cuts and ACA-driven coverage changes.

HHS and CMS are tackling duplicate enrollments in Medicaid, CHIP, and ACA plans to save $14 billion annually by improving program integrity and reducing waste.

The DOJ and HHS have reestablished the False Claims Act Working Group to heighten enforcement of healthcare fraud, focusing on Medicare, Medicaid, pricing, and EHR compliance risks.

Georgia's Medicaid work requirement program reveals significant administrative burdens and high costs, with low enrollment and challenges in verifying work compliance under recent federal legislation.