The Latest Breaking News from Medicaid

Four States Now Activate Medicaid Before Jail Release as New Federal Law Pressures the Rest

Four states now enroll people in Medicaid before release from jail. H.R. 1 has forced three others to pause, and outcome data is not in yet.

Medical Daily · Jul 29

The Hospital That Delivers a Third of D.C.'s Babies Closed 11 Postpartum Beds Sunday

MedStar Washington Hospital Center closed a postpartum unit Sunday, cutting 11 beds. A council member cites 17 diversions this year.

Medical Daily · Jul 29

Four Men Admit Using ChatGPT to Fake Records in a $2.2 Million Minnesota Medicaid Scheme

Four Minnesota men pleaded guilty to a $2.2 million Medicaid fraud, using ChatGPT to fabricate records when insurers requested documentation.

Medical Daily · Jul 29

Nebraska Has Been Running Medicaid Work Checks Since May. Every Other Expansion State Has Five Months.

Nebraska started Medicaid work checks in May. Forty other states and D.C. have until January, at roughly $15 million each. Who is ready?

Medical Daily · Jul 28

Federal Medicaid Work Rule Takes Legal Effect Friday as a Judge Weighs Whether to Pause It

The Medicaid work rule takes effect July 31, and CMS projects 2.3 million fewer enrollees in FY2027. What enrollees should check before August 31.

Medical Daily · Jul 28

Insurers Extended Their Vaccine Coverage Pledge Through 2027, But Parents Should Still Check Plan Documents This Fall

AHIP extended its no-cost vaccine pledge through 2027. Here is why it is not a legal guarantee and what parents should check at open enrollment.

Medical Daily · Jul 28

Denied Coverage For Wegovy Or Zepbound? Here Is What The Latest Value Assessment Says About Price And Access

Denied for Wegovy or Zepbound? A new value analysis explains why plans refuse coverage and what exceptions and appeals actually involve.

Medical Daily · Jul 27

Medicaid Work Requirements Expansion Threatens 8 Million Impaired Adults, Study Warns

A study warns that expanding Medicaid work requirements could risk health coverage for 8 million impaired adults, highlighting the challenges faced by those unable to meet new criteria.

International Business Times UK · Jul 27

ICER Finds Weight-Loss Drugs Cost-Effective, But Analysts Warn the Projected Savings Depend on Patients Staying On Them

ICER finds GLP-1s cost-effective for obesity, but analysts warn projected savings assume patients stay on treatment. What it means for coverage.

Medical Daily · Jul 27

CMS Projects Millions Fewer Medicaid Enrollees as Work Requirement Rule Takes Effect

CMS's Medicaid work requirement rule takes effect July 31. The agency projects 2.3 million fewer enrolled in 2027. What beneficiaries should do now.

Medical Daily · Jul 27