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Medicaid

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

Centers for Medicare & Medicaid Services
National / Social Services

CMS Launches Oversight Initiative to Verify Medicaid and CHIP Eligibility

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

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) announced a new oversight initiative aimed at ensuring that enrollees in Medicaid and the Children’s Health Insurance Program (CHIP) …

CMS Launches Oversight Initiative to Verify Medicaid and CHIP Eligibility Read More
Office of the Attorney General
Crime & Safety / Pennsylvania

Philadelphia Pharmacy Accused of $2M HIV Drug Scam Using Unregulated Medications

July 31, 2025July 31, 2025 - by Zainuddin Harinder

HARRISBURG, PA — Pennsylvania Attorney General Dave Sunday announced criminal charges this week against a Philadelphia pharmacy accused of dispensing unregulated HIV medications while fraudulently billing Medicaid and Medicare for …

Philadelphia Pharmacy Accused of $2M HIV Drug Scam Using Unregulated Medications Read More

Centers for Medicare & Medicaid Services
National

Feds Launch $14 Billion Crackdown on Duplicate Medicaid and ACA Enrollments

July 21, 2025July 20, 2025 - by Maryann Pugh

WASHINGTON, D.C. — In a sweeping effort to restore financial integrity and reduce fraud in America’s healthcare system, the Centers for Medicare & Medicaid Services (CMS) announced a major enforcement …

Feds Launch $14 Billion Crackdown on Duplicate Medicaid and ACA Enrollments Read More
Centers for Medicare & Medicaid Services
Health / Medical / National

Medicaid to Expand Access to Life-Changing Gene Therapy for Sickle Cell Patients in 33 States

July 21, 2025July 20, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) has unveiled a groundbreaking initiative aimed at expanding access to potentially curative gene therapies for individuals with sickle cell …

Medicaid to Expand Access to Life-Changing Gene Therapy for Sickle Cell Patients in 33 States Read More

Legal
Crime & Safety / Pennsylvania

Two Pennsylvania Health Care Workers Charged in National Medicaid Fraud Crackdown

July 3, 2025July 2, 2025 - by Zainuddin Harinder

HARRISBURG, PA — Two Pennsylvania men are facing serious allegations of defrauding the Medicaid system as part of a sweeping national law enforcement operation targeting health care fraud, officials announced …

Two Pennsylvania Health Care Workers Charged in National Medicaid Fraud Crackdown Read More
Washington, D.C.
Government / National

Fetterman Votes ‘Hell No’ as Vice President Breaks Senate Tie to Advance Sweeping GOP Bill

July 2, 2025July 2, 2025 - by Maryann Pugh

WASHINGTON, D.C. — In a dramatic and deeply divided vote on Tuesday, Vice President Vance cast the decisive ballot to pass the sweeping reconciliation measure known as H.R. 1, or …

Fetterman Votes ‘Hell No’ as Vice President Breaks Senate Tie to Advance Sweeping GOP Bill Read More
Legal
Crime & Safety / Regional

Bucks County Woman Charged in National Health Care Fraud Case

July 1, 2025July 1, 2025 - by Zainuddin Harinder

PHILADELPHIA, PA — A Bensalem woman has been charged in connection with a nationwide health care fraud investigation that authorities allege caused a loss of over $1 million to Medicaid.

Bucks County Woman Charged in National Health Care Fraud Case Read More

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