New Medicaid Federal Work Requirements Mean Less Leeway For States

When President Donald Trump signed a law adding work requirements for some Medicaid recipients, he may have undercut lawmakers in at least 14 states who were designing their own plans, according to health industry observers. Georgia is the only state with a work requirement in place for Medicaid, but several states have been pursuing such ...

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Drug Price Negotiation Program Sidesteps Latest Legal Obstacle

The drug price negotiation program has withstood another procedural effort in striking down one of the Inflation Reduction Act’s most significant provisions. In the U.S. Court of Appeals for the 6th Circuit, a panel of judges upheld (PDF) a lower court’s decision to dismiss the lawsuit. A judge dismissed the lawsuit last year, saying most of the ...

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A Look At The State Of Prior Authorization In Medicaid

A new analysis from KFF and Health Management Associates takes a dive into prior authorization practices for Medicaid managed care organizations. The study polled state programs on policies in place as of July 2024 and found that more than half of the 36 states that responded required that insurers make “standard” prior auth determinations within seven days ...

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HHS Pilot Program Raises Democratic Concerns Over Medicare Red Tape

House Democrats are sounding the alarm and demanding more information about a new Department of Health and Human Services (HHS) demonstration they say will increase red tape by adding prior authorization requirements in Medicare. Led by Reps. Suzan DelBene (D-Wash.) and Ami Bera (D-Calif.), a group of 17 Democrats questioned why HHS would want to test adding prior authorization ...

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You Can Eat Bread And Stay Fit: Here Are 9 High-Fiber Options From A Health Coach

Bread has been getting a bad “wrap.” Blamed for inflammation, blood sugar spikes, weight gain, type 2 diabetes and even poor mental health, bread has been left behind by many people. But experts say there can be room for it in our diets – and that it can even be beneficial. “You can enjoy a sandwich and ...

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Nevada Health Insurance Premiums Expected To Rise 17.5% Next Year

Nevadans who get medical insurance through Nevada Health Link may see their premiums rise dramatically next calendar year, new data released by the state suggests. Nevada Health Link, formally known as the Silver State Health Insurance Exchange, is the state’s Affordable Care Act marketplace. The Nevada Division of Insurance on Thursday announced that carriers offering ...

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