Are special needs plans the backbone of Medicare Advantage?
(By: Elizabeth Casolo for Becker’s Hospital Review) Special needs plans are far from new, but they continue to hold promise as
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Medicaid
Algorithms used to determine Medicaid eligibility for home care vary widely among states
(By O. Rose Broderick for STAT published Oct. 24, 2025) The massive tax cut bill President Trump signed in July
Read MorePrivate Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say
(By Tony Leys for KFF Health News) Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health
Read MoreStates Jostle Over $50B Rural Health Fund as Trump’s Medicaid Cuts Trigger Scramble
(By Sarah Jane Tribble for KFF Health News) WASHINGTON — Nationwide, states are racing to win their share of a
Read MoreA Closer Look at the Growing Role of Special Needs Plans in Medicare Advantage
(Authors: Abby Sachar, Jeannie Fuglesten Biniek, Maiss Mohamed, and Alice Burns for The Kaiser Family Foundation Published: Sep 25, 2025)
Read MoreThe Impact of H.R. 1 on Two Medicaid Eligibility Rules
(Authors: Anna Mudumala, Maiss Mohamed, Jennifer Tolbert, and Alice Burns for The Kaiser Family Foundation Published: Sep 22, 2025) On
Read MoreCan Medicare deny services?
Can Medicare deny someone services if you are not financially needy? The answer is no, since Medicare is not a
Read MoreWhat Could the Health-Related Provisions in the Reconciliation Law Mean for Older Adults?
(Authors: Tricia Neuman, Alice Burns, Justin Lo, Juliette Cubanski, and Matthew Rae for The Kaiser Family Foundation Published: Sep 17,
Read MorePrior Authorization Process Policies in Medicaid Managed Care: Findings from a Survey of State Medicaid Programs
(By Jada Raphael, Elizabeth Hinton, Aimee Lashbrook, and Kathleen Gifford for The Kaiser Family Foundation Published: Aug 07, 2025) Medicaid
Read MoreThe next step in preventing fraud
In recent weeks, the Centers for Medicare & Medicaid Services (CMS) announced that the “Fraud Takedown” resulted in the prosecution
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