Medicare & Medicaid

A roundtable discussion among industry executives has identified access, efficiency and administrative burden as pressing issues.

Medicaid is often the highest line item in rural budgets, says Families USA executive director.

Ultimately the question is not one of spending, but how we allocate care for ourselves and in this world, data is everything, says Dr. Don Rucker, chief strategy officer at 1upHealth, who is the former National Coordinator for Health Information Technology.  

Among other changes, the rule shortens the open enrollment period starting in 2027. 

Insurers are promising faster access for patients and more transparent workflows for providers.

To achieve its goal, Humana told investors it's set several targets, including increasing preventative care visits by 20% this year.

The bill keeps provisions that are expected to cut $800B in Medicaid funding while adding more stringent work requirements.

The Medicaid State Plan Amendments allow care to be delivered in hard-to-reach and remote areas, CMS says.

Providers are needed on the ground but viability challenges mean a third of the country is considered a maternity care desert, says Anu Sharma, founder and CEO of the tech-enabled Millie.  

Committee members have conflicts of interest and have acted as a rubber stamp for vaccines, Kennedy wrote in a WSJ op-ed.