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Five Key Facts About Spending and Enrollment for People with Medicare and Medicaid(Dual-Eligible Individuals)

by KFF | Jul 15, 2026 | Industry News, Medicaid, Medicare

There are approximately 12 million people enrolled in both Medicare and Medicaid, who are also known as dual-eligible individuals. Compared with people who are only covered by Medicare or Medicaid, this group is more likely to report being in fair or poor health and...

What to Know About Recent Federal Actions Involving State Medicaid ProgramIntegrity

by KFF | Jun 9, 2026 | Industry News, Medicaid

The Trump Administration continues its focus on rooting out fraud, waste, and abuse in federal programs, including Medicaid. In March 2026, President Trump issued an Executive Order establishing the Task Force to Eliminate Fraud, chaired by Vice President J.D. Vance....

CMS Releases Medicaid Work Requirements Guidance for States

by Healthcare Dive | Jun 1, 2026 | CMS, Industry News, Medicaid

The Trump administration on Monday released long-awaited Medicaid work requirements guidance for states, finalizing a rule that will affect healthcare access for millions of Americans — and create a roadmap for the beleaguered state officials looking to operationalize...

A Look at the GENEROUS Model and Factors That Could Impact Medicaid Drug Costs

by KFF | May 8, 2026 | Industry News, Medicaid

While spending on prescription drugs accounts for a relatively small share of overall Medicaid spending, Medicaid drug spending has grown in recent years. As a result, both states and the federal government continue to prioritize the management of rising prescription...

Marketing to Individuals Dually Eligible for Medicare and Medicaid

by CMS | Apr 15, 2026 | Industry News, Medicaid, Medicare

We are asking that you take a look at this policy again. While this is not new policy, CMS determined it was pertinent to recommunicate this policy and its implications; this, more than likely, signals that there will be closer scrutiny and lower tolerance for...

Baylor Scott & White Health Plan will stop providing Medicaid and ACA Marketplace coverage in Texas

by Kera News | Apr 15, 2026 | ACA, Industry News, Medicaid

The Baylor Scott & White Health Plan will stop offering Texas Medicaid and individual marketplace health insurance plans this year, the provider announced Tuesday. The Dallas-based health plan will leave the Texas Medicaid Managed Care Program at the end of...
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