News
CMS revises ACA Exchange rules for 2027
55+ min ago (470+ words) The Centres for Medicare & Medicaid Services (CMS) in the US has finalised a broad set of regulatory changes to the Affordable Care Act Exchanges for the 2027 plan year, combining lower federal user fees with stricter eligibility checks and a larger…...
Hawaii's fight against Medicaid fraud plagued for over a decade
31+ min ago (1666+ words) Behind the verbal sparring last week between federal and state officials over policing Medicaid fraud, data shows Hawaii's recent record on the subject is in some respects worst in the nation. In each of the last four years, Hawaii's Medicaid…...
To Keep Medicaid, Mom Caring for Disabled Adult Son Faces Prospect of Proving She Works
1+ mon, 2+ day ago (539+ words) A proposed work requirement would make Medicaid expansion enrollees prove they're working or meet other criteria. Most already work, but millions are expected to lose coverage if the provision passes, many from red tape. A Missouri mother who cares for…...
Is the Weight-Loss Drug Revolution Causing a Frailty Epidemic? -- WSJ
17+ hour, 19+ min ago (12+ words) Moomoo...
Imagine a public, nonprofit system of healthcare! I didn't have to. | Opinion
2+ day, 15+ hour ago (221+ words) Paul Kando lives in Damariscotta. "When even doctors can't find doctors, something needs to change," I read in our Sunday, May 3 paper. Indeed! Corporate capitalism is at the root of what, in the U. S. , passes for "healthcare," or lack thereof. But…...
De Wine announces measurers to combat Medicaid fraud
1+ day, 1+ hour ago (344+ words) Ohio's governor has imposed new measures to cut down on Medicaid fraud, even though he says the state is already far ahead of most states in cracking down on abuse. "Ohio has long been a national leader in fighting Medicaid…...
Pa. grapples with implementing Medicaid work requirements
2+ hour, 33+ min ago (1226+ words) Whiplash over remote access to abortion medication nationwide When 2027 gets underway, most states across the country will push forth new work requirements for select Medicaid enrollees while navigating vague exceptions and doubling verification workloads." The federal law requiring this change…...
Lithuania Healthcare Crisis: "40 M Deficit and Legal Disputes
4+ day, 22+ hour ago (23+ words) Lithuania's healthcare system faces a "40 million budget gap in early 2026. Lawmakers demand answers on hospital funding, patient queues, and legal violations....
Federal Scrutiny of State Medicaid Programs and Medicaid Providers Intensifies
4+ day, 6+ hour ago (156+ words) Here, "revalidation" refers to provider enrollment screening, not beneficiary eligibility renewals. Provider revalidation confirms enrollment information, credentials, ownership and practice details. It is separate from member re-enrollment, new work requirements or eligibility redeterminations, which are already coming as a result…...
The OBSERVER's View: Add dental plans to state marketplace | News, Sports, Jobs
1+ day, 2+ hour ago (157+ words) Too many senior citizens in New York state don't have access to affordable dental care. That fact makes it hard to disagree with legislation (A. 11235/S. 7594...