Forthcoming Policy Changes to Medicaid State Directed Payments
(Authors: Alice Burns, Elizabeth Hinton, Scott Hulver, Jessica Mathers, and Robin Rudowitz for The Kasier Family Foundation Published: Jun 15,
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Legislative Update
Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
(By Sarah Jane Tribble and Arielle Zionts for KFF Health News) In Maine, state health officials hoped to steer a
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Massachusetts prior auth regulations take effect: 6 things to know
(By: Elizabeth Casolo for Becker’s Hospital Review) Prior authorization reforms in Massachusetts went into effect June 5. Democratic Gov. Maura
Read MoreA Closer Look at North Carolina’s Implementation of the 2025 Reconciliation Law Medicaid Provisions and Other Changes Amid Medicaid Budget Shortfalls
(Authors: Jada Raphael, Amaya Diana, and Anna Mudumala for The Kaiser Family Foundation Published: May 29, 2026) On April 30,
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Feds finalize No Surprises dispute portal, payer registry: 5 things to know
(By: Jakob Emerson for Becker’s Hospital Review) The Trump administration has finalized an overhaul of the No Surprises Act’s independent
Read MoreTrump’s $50B Rural Health Bet Meets a Healthcare Desert in North Carolina
(By Sarah Jane Tribble and Amanda Seitz for KFF Health News) WILLIAMSTON, N.C. — Two years after her brother’s death,
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Where PBM reform stands across the US
(By: Ella Jeffries for Becker’s Hospital Review) States are advancing legislation to restrict how pharmacy benefit managers operate. In doing
Read MoreMedicaid Changes in House and Senate Reconciliation Bills Would Increase Costs for 1.3 Million Low-Income Medicare Beneficiaries
(Authors: Maiss Mohamed, Alice Burns, and Jeannie Fuglesten Biniek for The Kaiser Family Foundation Published: May 14, 2026) On May
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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
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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
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