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Medicaid

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

Centers for Medicare & Medicaid Services
National

CMS Targets Medicaid Payment Loopholes in $775 Billion Push

May 25, 2026May 24, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services proposed sweeping restrictions on state Medicaid payment arrangements that federal officials argue have inflated reimbursement rates far above Medicare benchmarks, …

CMS Targets Medicaid Payment Loopholes in $775 Billion Push Read More
Centers for Medicare & Medicaid Services
National

CMS Extends Drug Pricing Program Deadlines Amid Demand

May 3, 2026May 3, 2026 - by Maryann Pugh

WASHINGTON, D.C. — Federal health officials have pushed back key deadlines for a new Medicaid drug pricing initiative after strong interest from pharmaceutical manufacturers and state programs.

CMS Extends Drug Pricing Program Deadlines Amid Demand Read More

The Columbus Organization
Regional

Columbus Organization Approved for Kentucky Medicaid CHILD Waiver

April 29, 2026April 27, 2026 - by Timothy Alexander

BLUE BELL, PA — The Columbus Organization has been approved by Kentucky’s Department for Medicaid Services to provide case management services under the state’s new CHILD Waiver program, expanding access …

Columbus Organization Approved for Kentucky Medicaid CHILD Waiver Read More
A caregiver talking to a group of seniors
Pennsylvania / Senior Citizens

Report Finds Declining Nursing Home Capacity in Pennsylvania

April 8, 2026April 8, 2026 - by Timothy Alexander

PENNSYLVANIA — A new report from LeadingAge PA finds that Pennsylvania’s nursing home capacity is declining as demand for senior care is projected to rise sharply, driven by an aging …

Report Finds Declining Nursing Home Capacity in Pennsylvania Read More

Attorney General Dave Sunday
Crime & Safety / Pennsylvania

Pa. Leads Nation in Medicaid Fraud Convictions, Report Finds

April 1, 2026March 31, 2026 - by Maryann Pugh

HARRISBURG, PA — Pennsylvania ranked first in the nation for Medicaid fraud convictions and recovered more than $41 million in misused funds last year, according to a new federal report.

Pa. Leads Nation in Medicaid Fraud Convictions, Report Finds Read More
Elderly care
Health / Medical / National

Hospital-at-Home Data Release Expands Research Access

March 23, 2026March 22, 2026 - by Maryann Pugh

WASHINGTON, D.C. — Researchers and health care analysts can now access nearly five years of federal data on hospital-at-home care, following a new release from the Centers for Medicare & …

Hospital-at-Home Data Release Expands Research Access Read More

Secretary Arkoosh visits Indiana County Community Action Program (ICCAP)
Pennsylvania / Social Services

$1M Housing Plan Targets Homelessness, Health Risks

March 22, 2026March 22, 2026 - by Maryann Pugh

INDIANA, PA — Medicaid recipients with chronic health conditions who are at risk of homelessness could receive new housing and support services under a proposed $1 million state investment included …

$1M Housing Plan Targets Homelessness, Health Risks Read More
Pennsylvania capitol
Crime & Safety / Pennsylvania

Pa. Blocks $61 Million in Benefit Fraud as Oversight Expands

March 8, 2026March 8, 2026 - by Maryann Pugh

HARRISBURG, PA — Pennsylvania investigators stopped more than $61 million in improper public assistance payments last year by reviewing nearly 20,000 benefit applications flagged for potential fraud, according to the …

Pa. Blocks $61 Million in Benefit Fraud as Oversight Expands Read More
Centers for Medicare & Medicaid Services
National

Medicare Drug Pricing Pilot Deadline Extended, New Login Security Launched

March 8, 2026March 7, 2026 - by Timothy Alexander

WASHINGTON, D.C. — Drug manufacturers now have an extra month to apply for a federal pilot program designed to lower prescription drug costs in Medicaid, while Medicare beneficiaries are gaining …

Medicare Drug Pricing Pilot Deadline Extended, New Login Security Launched Read More

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