The challenge of duplicate enrollments in Medicaid and the Children’s Health Insurance Program (CHIP) has quietly siphoned off billions of taxpayer dollars for years, creating a financial burden that undermines the efficiency of these critical healthcare programs. This issue arises when
In a significant move for mental health care providers, the Centers for Medicare and Medicaid Services (CMS) has rolled out a series of updates to the Inpatient Psychiatric Facilities (IPF) Prospective Payment System (PPS) for fiscal year 2026. These changes, detailed in a recent final rule,
In a healthcare landscape increasingly defined by rising costs and funding uncertainties, a significant policy shift by CareOregon, a Portland, Oregon-based nonprofit managed care organization, has sparked attention and concern among its members and industry observers. This nonprofit, the largest
In the heart of Massachusetts, the city of Chicopee finds itself grappling with a challenge that resonates across the nation: the relentless rise in health insurance costs, which burden both municipal budgets and residents. During a recent special City Council meeting held in a crowded City Hall
The escalating expense of specialty drugs, critical for treating complex conditions such as cancer and rare diseases, has emerged as a pressing issue for employers and health plans across the healthcare landscape, demanding urgent and innovative solutions. With these medications accounting for a
Bipartisan health reform has consistently proved challenging for legislative advancement in the United States, primarily due to the need for a delicate balance between political ideologies. Senate Republicans, recognizing this demand, have initiated discussions surrounding a potential bipartisan
