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...
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...
by Reuters | Apr 13, 2026 | Industry News, Medicaid
The Trump administration’s new law that Americans must work or volunteer to qualify for Medicaid healthcare benefits, set to take effect next year, has left states waiting for details on how to comply and with limited funding promised, according to six industry...
by JD Supra | Mar 9, 2026 | Industry News, Medicaid, Medicare
Key Takeaways: Centers for Medicare & Medicaid Services (CMS) deferred $259.5 million in federal Medicaid funds to Minnesota over program integrity concerns. CMS will impose a six-month nationwide moratorium on new enrollments for certain Durable Medical...
by KFF | Aug 21, 2025 | Industry News, Medicaid
Medicare and Social Security play a central role in the lives of tens of millions of older adults and people with disabilities in the U.S., in the form of health insurance from Medicare and retirement or disability income from Social Security. Yet, even with Medicare...
by Agent & Advisor | Aug 20, 2025 | Industry News, Medicaid, Medicare Advantage
Despite CMS mandates for Medicare Advantage (MA) insurers to update their directories every 90 days, a staggering 33% of provider listings contain inaccurate phone numbers, and 52% list incorrect provider locations. Seniors calling doctors listed as “in-network” often...
