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Medicaid

Centers for Medicare & Medicaid Services
National

CMS Orders States to Enforce Medicaid Work Rules in Sweeping Reform Push

December 15, 2025December 14, 2025 - by Maryann Pugh

WASHINGTON, D.C. — Federal health officials recently unveiled new guidance directing states to implement landmark Medicaid community engagement requirements, marking one of the most consequential overhauls of eligibility and financing …

CMS Orders States to Enforce Medicaid Work Rules in Sweeping Reform Push Read More

Recovery Centers of America
Regional

Feds Hit Recovery Centers of America With $2M Settlement Over Drug Controls

December 12, 2025December 12, 2025 - by Maryann Pugh

PHILADELPHIA — Recovery Centers of America has agreed to pay $2,000,000 to resolve federal allegations that it mishandled controlled substances and improperly billed government health programs, U.S. Attorney David Metcalf …

Feds Hit Recovery Centers of America With $2M Settlement Over Drug Controls Read More
Centers for Medicare & Medicaid Services
National

New CMS Rules Shake Up Medicaid Financing as Medicare Costs Climb for 2026

November 17, 2025November 15, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The longstanding Medicaid financing system is undergoing its most sweeping overhaul in decades as the Centers for Medicare & Medicaid Services on Friday issued new federal guidance …

New CMS Rules Shake Up Medicaid Financing as Medicare Costs Climb for 2026 Read More

Centers for Medicare & Medicaid Services
National

CMS Launches Groundbreaking Plan to Cut Drug Costs and Transform Rural Health

November 9, 2025November 9, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) this week unveiled two sweeping initiatives aimed at transforming American health care—one to overhaul rural health delivery and another …

CMS Launches Groundbreaking Plan to Cut Drug Costs and Transform Rural Health Read More
Sherlock Company
Regional

Medicaid Plans See Slower Rise in Administrative Costs, Benchmark Finds

November 3, 2025November 3, 2025 - by Timothy Alexander

PHILADELPHIA, PA — Administrative expenses in Medicaid-focused health plans increased at a slower pace in 2024, signaling cautious cost management amid ongoing federal and state policy uncertainty. According to the …

Medicaid Plans See Slower Rise in Administrative Costs, Benchmark Finds Read More

Paul Friel
Social Services

Ciresi and Friel Warn of Local Fallout From Budget Delays and Federal Cuts

October 18, 2025October 18, 2025 - by Maryann Pugh

POTTSTOWN, PA — Pennsylvania Representatives Joe Ciresi of Montgomery County and Paul Friel of Chester County held a town hall Wednesday evening with the Pottstown chapter of the NAACP to …

Ciresi and Friel Warn of Local Fallout From Budget Delays and Federal Cuts Read More
Neuronetics, Inc
Business

Neuronetics Gains Breakthrough as New York Medicaid Expands Coverage for TMS Depression Therapy

September 20, 2025September 20, 2025 - by Timothy Alexander

MALVERN, PA — Neuronetics, Inc. (NASDAQ: STIM) announced Wednesday that New York State Medicaid will begin covering transcranial magnetic stimulation (TMS) for adults with major depressive disorder (MDD), a move …

Neuronetics Gains Breakthrough as New York Medicaid Expands Coverage for TMS Depression Therapy Read More

Centers for Medicare & Medicaid Services
National

CMS Issues Guidance on New Medicaid Payment Limits Under Trump Administration Law

September 14, 2025September 14, 2025 - by Maryann Pugh

WASHINGTON, D.C. — Federal health officials issued preliminary guidance to states on how to implement new limits on Medicaid managed care payments, a move the Trump administration says is aimed …

CMS Issues Guidance on New Medicaid Payment Limits Under Trump Administration Law Read More
Centers for Medicare & Medicaid Services
National

CMS Expands Access to Catastrophic Health Coverage Amid Rising Premiums

September 8, 2025September 7, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) announced new measures last week to expand access to catastrophic health insurance plans beginning in the 2026 plan year, …

CMS Expands Access to Catastrophic Health Coverage Amid Rising Premiums Read More
Doctor talking to the patient
National

HHS and CMS Establish Healthcare Advisory Committee to Drive Reform and Improve Care Delivery

August 26, 2025August 25, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced the creation of the Healthcare Advisory Committee, a …

HHS and CMS Establish Healthcare Advisory Committee to Drive Reform and Improve Care Delivery Read More

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