Actions needed to reduce improper payment and fraud risks
Each year, the Office of Management and Budget identifies programs considered high priority for improper payments. In 2025, the Department
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Healthcare Costs
Proposed bill would create Medicare exchange plan, make enhanced ACA subsidies permanent
(By: Jakob Emerson for Becker’s Hospital Review) A newly proposed federal bill would create a government-run public health insurance option
Read MoreA Closer Look at Deficiencies in Nursing Homes
(Authors: Priya Chidambaram, Alice Burns, and Robin Rudowitz for The Kaiser Family Foundation Published: Jul 16, 2026) About 1.2 million
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UnitedHealthcare: No Surprises arbitration system ‘needs to be reformed’
(By: Jakob Emerson for Becker’s Hospital Review) UnitedHealthcare is joining the choir of insurers calling for an overhaul of the
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MAGI Definition for IRMAA
The Income-Related Monthly Adjustment Amount (IRMAA) is an additional charge added to standard Medicare Part B (medical insurance) and Part
Read MoreFacing Funding Losses, States Call Out Big Businesses With Employees on Medicaid
(By Jazmin Orozco Rodriguez for KFF Health News) As the Trump administration’s January deadline looms for states to enforce new
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Unauthorized ACA enrollment, plan change complaints up fourfold since 2023: GAO
(By: Jakob Emerson for Becker’s Hospital Review) CMS lacks adequate safeguards to stop agents and brokers from enrolling individuals into ACA
Read More2026 Medical Loss Ratio Rebates
(Authors: Matt McGough, Jared Ortaliza, and Cynthia Cox for The Kaiser Family Foundation Published: Jul 13, 2026) The Medical Loss
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The term ‘payvider’ isn’t very useful
(By: Elizabeth Casolo for Becker’s Hospital Review) “Payvider” — a portmanteau of “payer” and “provider” — commonly refers to healthcare organizations
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A new wording test on ‘Medicare for All’
(By: Jakob Emerson for Becker’s Hospital Review) Support for expanding Medicare into a government-run health plan for everyone swings by
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