Thursday, May 14, 2026

Latest:

CMS freezes new hospice, home health enrollments amid fraud crackdown
The power of a trusted voice in helping homeless Veterans
What to Know About the BALANCE Model for GLP-1s in Medicare and Medicaid and the Medicare GLP-1 Bridge
4 recommendations to bring oversight to AI-driven prior auth: MACPAC
Mental health research at VA’s Million Veteran Program

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Legislative Update

Eileen Cook April 28, 2026April 28, 2026 Healthcare Finance, Legislation, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

Bipartisan House bill targets MA prior authorization, denial practices: 5 notes

(By: Elizabeth Casolo for Becker’s Hospital Review) A House bill introduced April 20 by a bipartisan group of representatives, five

Health Care Finance Legislative Update Medicare Advantage

Eileen Cook April 17, 2026April 17, 2026 Healthcare Finance, Medicare Advantage

Oregon takes control of Medicare Advantage insurer over mounting losses

(By: Jakob Emerson for Becker’s Hospital Review) Oregon regulators have placed ATRIO Health Plans under state supervision after the Medicare

Affordable Care Act (ACA)Health Care Finance Legislative Update Medicaid

Eileen Cook April 15, 2026April 15, 2026 ACA, Healthcare Costs, Healthcare Finance, Medicaid, Medicaid Work Requirement

Implementing Medicaid Work Requirements: Lessons from Unwinding

(Authors: Amaya Diana and Robin Rudowitz for The Kaiser Family Foundation Published: Apr 14, 2026) The 2025 reconciliation law requires

Health Care Finance Legislative Update Medicaid

Eileen Cook March 26, 2026March 26, 2026 Healthcare Finance, Medicaid, Medicaid Work Requirement

Medicaid work requirements could cut enrollment by up to 10 million per month

(By: Elizabeth Casolo for Becker’s Hospital Review) By 2028, there could be between 4.9 million and 10.1 million fewer people enrolled

Health Care Finance Legislative Update Medicaid Medicare Advantage

Eileen Cook March 25, 2026March 25, 2026 Healthcare Finance, Medicaid, Medicare Advantage

Iowa bill aims to hike HMO tax, bolster Medicaid

(By: Elizabeth Casolo for The Becker’s Hospital Review) Iowa lawmakers are weighing a bill, originally introduced March 13, that would

Health Care Finance Legislative Update Part D/Prescription Drugs

Eileen Cook March 13, 2026March 13, 2026 CMS, Healthcare Costs, Healthcare Finance, Medicare Part D, TrumpRx

Public Views on Prescription Drug Costs: Regulation, Affordability and TrumpRx

(Authors: Audrey Kearney, Alex Montero, Julian Montalvo III, Isabelle Valdes, Ashley Kirzinger, and Liz Hamel for The Kaiser Family Foundation

Health Care Finance Legislative Update Part D/Prescription Drugs

Eileen Cook March 12, 2026March 12, 2026 CMS, Healthcare Finance, Inflation Reduction Act, medicare, Medicare Part D, Older Adults

Inflation Reduction Act tied to stronger medication adherence: Study

(By: Erica Cerutti for Becker’s Hospital Review) Cost-related medication nonadherence declined among Medicare enrollees following implementation of the Inflation Reduction