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Medicaid

Centers for Medicare & Medicaid Services
National

CMS Says Fraud Unit Blocked $203 Million in Medicaid Payments

August 3, 2026August 2, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services said its Medicaid Fraud War Room helped stop more than $203 million in potentially improper payments during its first 88 …

CMS Says Fraud Unit Blocked $203 Million in Medicaid Payments Read More

Sherlock Company
Regional

Health Plan Administrative Costs Rise as Staffing Ratios Decline

August 2, 2026August 1, 2026 - by Timothy Alexander

PHILADELPHIA, PA — Administrative costs for independent and provider-sponsored health insurance plans continued to rise in 2025, although at a slower pace than the previous year, reflecting higher labor expenses …

Health Plan Administrative Costs Rise as Staffing Ratios Decline Read More
Dentist
Dental / National

CMS Presses States to End Medicaid Amalgam Coverage

July 29, 2026July 29, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services is urging state Medicaid programs to restrict or eliminate coverage for mercury-containing dental fillings, a federal push that could shift …

CMS Presses States to End Medicaid Amalgam Coverage Read More

Centers for Medicare & Medicaid Services
National

CMS Tax Rule Would Cut Federal Medicaid Spending by $246 Billion

July 27, 2026July 26, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services proposed new limits on state health care-related taxes that the agency estimates would reduce federal Medicaid spending by $246 billion …

CMS Tax Rule Would Cut Federal Medicaid Spending by $246 Billion Read More
Centers for Medicare & Medicaid Services
National

CMS Defers $1 Billion in Medicaid Payments to States

July 27, 2026July 26, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Department of Health and Human Services and the Centers for Medicare & Medicaid Services last week deferred more than $1 billion in federal Medicaid payments to …

CMS Defers $1 Billion in Medicaid Payments to States Read More

Centers for Medicare & Medicaid Services
National

CMS Expands Oversight of Healthcare Accreditors in Final Rule

June 15, 2026June 14, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services has finalized new regulations designed to strengthen oversight of healthcare accrediting organizations, a move the agency says will improve patient …

CMS Expands Oversight of Healthcare Accreditors in Final Rule Read More
Centers for Medicare & Medicaid Services
National

CMS Tightens Oversight of Healthcare Accreditors in Final Rule

June 15, 2026June 14, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services has finalized new regulations aimed at strengthening oversight of healthcare accreditation organizations, responding to concerns that some facilities retained accreditation …

CMS Tightens Oversight of Healthcare Accreditors in Final Rule Read More

Centers for Medicare & Medicaid Services
National

CMS Issues Medicaid Work Rule Ahead of 2027 Deadline

June 7, 2026June 7, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services has issued an interim final rule establishing a nationwide framework requiring certain adult Medicaid recipients to complete at least 80 …

CMS Issues Medicaid Work Rule Ahead of 2027 Deadline Read More
LAPA Lobby Day Steps
Pennsylvania

Pennsylvania Providers Seek Medicaid Changes as Senior Care Strains

June 4, 2026June 3, 2026 - by Maryann Pugh

HARRISBURG, PA — Senior care providers and bipartisan lawmakers are pressing Pennsylvania policymakers to increase Medicaid support for nursing homes and home-based elder care programs, warning that demographic growth and …

Pennsylvania Providers Seek Medicaid Changes as Senior Care Strains Read More
Centers for Medicare & Medicaid Services
National

Surprise Medical Bill Disputes Could Become Cheaper and Faster Under New Federal Rule

June 1, 2026June 1, 2026 - by Maryann Pugh

WASHINGTON, D.C. — Health care providers and insurance companies will pay significantly lower fees to resolve certain payment disputes under a new federal rule that officials say is designed to …

Surprise Medical Bill Disputes Could Become Cheaper and Faster Under New Federal Rule Read More

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