Medicare & Medicaid

Lady Justice holding her scales
States sue CMS over ACA final rule
By Jeff Lagasse | 09:47 am | July 18, 2025
The capitol building in Washington D.C. at dusk
Bill would unwind Medicaid funding cuts for hospitals
By Jeff Lagasse | 12:59 pm | July 17, 2025
Clinicians walking down hospital corridor
CMS proposes 2.4% annual outpatient, ASC boost
By Jeff Lagasse | 11:49 am | July 16, 2025
Clinicians talking at a board table
33 states to participate in CMS' Cell and Gene Therapy Access Model
By Jeff Lagasse | 09:38 am | July 16, 2025
Clinicians talking in a hospital
CMS to bump physician pay 3.62%
By Jeff Lagasse | 09:38 am | July 15, 2025
Capitol at night
Reconciliation bill’s effects on healthcare provisions
By Susan Morse | 10:53 am | July 11, 2025
PBM provision, silver loading left out of final version of One Big Beautiful Bill Act due to Byrd Rule.
DOJ building
UnitedHealth responds to WSJ story on its Medicare billing practices
By Susan Morse | 11:11 am | July 10, 2025
DOJ’s criminal healthcare-fraud unit is investigating how UnitedHealth deployed doctors and nurses to gather diagnoses that bolstered its payments, WSJ says.
Waiting room
Medicaid, ACA enrollment expected to decrease under One Big Beautiful Bill Act
By Susan Morse | 11:23 am | July 07, 2025
AHA: "The number of individuals who will lose health coverage - cannot be simply dismissed as waste, fraud, and abuse."
Lady Justice holding scales
324 charged in connection with $14.6 billion in healthcare fraud
By Jeff Lagasse | 01:33 pm | July 02, 2025
Defendants include 96 doctors, nurse practitioners, pharmacists and other licensed medical professionals.
Lady Justice holding her scales
324 charged in connection with $14.6 billion in healthcare fraud
By Jeff Lagasse | 10:42 am | July 02, 2025
Defendants include 96 doctors, nurse practitioners, pharmacists and other licensed medical professionals.