Medical Frailty and Medicaid Work Requirements: Challenges for People with HIV
This analysis examines Medicaid work requirements and the implementation of medical frailty exclusions for people…
Medical Frailty and Medicaid Work Requirements: Challenges for People with HIV
This analysis examines Medicaid work requirements and the implementation of medical frailty exclusions for people with HIV in light of CMS’s implementing regulation.
How Has Projected Medicaid Spending and Enrollment Changed Since Passage of the 2025 Reconciliation Law?
CBO’s latest projections of Medicaid spending and enrollment from February 2026 show how enrollment and spending are expected to change over the next decade, accounting for the historic policy changes and their expected reductions in future federal Medicaid spending, as well as other economic and technical changes. This policy watch compares CBO’s February 2026 projections…
Medicare Will Spend More Than $13 Billion on the Medicare Advantage Quality Bonus Program in 2026
The Medicare program will spend at least $13 billion on the Medicare Advantage quality bonus program in 2026, as 68% of Medicare Advantage enrollees are in a plan that qualifies for higher payments under the program.
Decoding Medicare Advantage Coding Intensity
In recent years, federal payments to Medicare Advantage plans, and how they are adjusted for enrollee health status, have come under increased scrutiny. This brief answers key questions about coding intensity, recent steps taken by CMS to address the impact of coding on payment, the effects on Medicare beneficiaries, and other proposals to improve Medicare…
MedCity FemFwd: Inside Winona’s New Women’s Health Research Initiative
In this episode, we’re joined by Dr. Cathleen Brown, medical director of menopause company Winona. We discuss the company’s new Winona Research Initiative, which seeks to fund and support menopause and women’s health research. The post MedCity FemFwd: Inside Winona’s New Women’s Health Research Initiative appeared first on MedCity News.
Your Healthcare AI Strategy Is Probably an Architecture Problem
These three patterns keep showing up, and each is much cheaper to prevent than to fix later. The post Your Healthcare AI Strategy Is Probably an Architecture Problem appeared first on MedCity News.
Healthcare Retention Depends On Better Pathways, Not Just Better Pay
When workers feel stuck in place, with limited opportunities to advance or deepen their skills, disengagement tends to follow. In allied health roles, where burnout is already high and many touch the patient experience, it is a risk healthcare employers cannot afford to ignore. The post Healthcare Retention Depends On Better Pathways, Not Just Better…
What Healthcare Leaders Should Know Before Implementing AI-Powered Documentation Tools
These tools are worth implementing. They are not worth implementing without the right preparation. The post What Healthcare Leaders Should Know Before Implementing AI-Powered Documentation Tools appeared first on MedCity News.
Newsom Vowed To Transform Kids’ Mental Health. Many California Schools Are Still Waiting.
If you or someone you know may be experiencing a mental health crisis, contact the 988 Suicide & Crisis Lifeline by dialing or texting “988.” QUINCY, Calif. — When Taletha Washburn and the staff at Plumas Charter School first heard that California wanted to help schools treat more kids struggling with mental health, it felt…
Affordable Healthcare Emerges as a Voter Priority in Purple Nevada
One issue will decide Steven Cohen’s vote for Nevada governor this fall: Which candidate can best protect him from getting kicked off Medicaid? Cohen is a 38-year-old Las Vegas resident with autism and has dual enrollment in Medicaid and Medicare. He said he’s very concerned that he could lose his Medicaid coverage once work requirements…
