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Medicaid

Sherlock Company
Regional

Medicaid Plans See Slower Rise in Administrative Costs, Benchmark Finds

November 3, 2025November 3, 2025 - by Timothy Alexander

PHILADELPHIA, PA — Administrative expenses in Medicaid-focused health plans increased at a slower pace in 2024, signaling cautious cost management amid ongoing federal and state policy uncertainty. According to the …

Medicaid Plans See Slower Rise in Administrative Costs, Benchmark Finds Read More

Paul Friel
Social Services

Ciresi and Friel Warn of Local Fallout From Budget Delays and Federal Cuts

October 18, 2025October 18, 2025 - by Maryann Pugh

POTTSTOWN, PA — Pennsylvania Representatives Joe Ciresi of Montgomery County and Paul Friel of Chester County held a town hall Wednesday evening with the Pottstown chapter of the NAACP to …

Ciresi and Friel Warn of Local Fallout From Budget Delays and Federal Cuts Read More
Neuronetics, Inc
Business

Neuronetics Gains Breakthrough as New York Medicaid Expands Coverage for TMS Depression Therapy

September 20, 2025September 20, 2025 - by Timothy Alexander

MALVERN, PA — Neuronetics, Inc. (NASDAQ: STIM) announced Wednesday that New York State Medicaid will begin covering transcranial magnetic stimulation (TMS) for adults with major depressive disorder (MDD), a move …

Neuronetics Gains Breakthrough as New York Medicaid Expands Coverage for TMS Depression Therapy Read More

Centers for Medicare & Medicaid Services
National

CMS Issues Guidance on New Medicaid Payment Limits Under Trump Administration Law

September 14, 2025September 14, 2025 - by Maryann Pugh

WASHINGTON, D.C. — Federal health officials issued preliminary guidance to states on how to implement new limits on Medicaid managed care payments, a move the Trump administration says is aimed …

CMS Issues Guidance on New Medicaid Payment Limits Under Trump Administration Law Read More
Centers for Medicare & Medicaid Services
National

CMS Expands Access to Catastrophic Health Coverage Amid Rising Premiums

September 8, 2025September 7, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) announced new measures last week to expand access to catastrophic health insurance plans beginning in the 2026 plan year, …

CMS Expands Access to Catastrophic Health Coverage Amid Rising Premiums Read More

Doctor talking to the patient
National

HHS and CMS Establish Healthcare Advisory Committee to Drive Reform and Improve Care Delivery

August 26, 2025August 25, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced the creation of the Healthcare Advisory Committee, a …

HHS and CMS Establish Healthcare Advisory Committee to Drive Reform and Improve Care Delivery Read More
Centers for Medicare & Medicaid Services
National / Social Services

CMS Launches Oversight Initiative to Verify Medicaid and CHIP Eligibility

August 25, 2025August 25, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) announced a new oversight initiative aimed at ensuring that enrollees in Medicaid and the Children’s Health Insurance Program (CHIP) …

CMS Launches Oversight Initiative to Verify Medicaid and CHIP Eligibility Read More

Office of the Attorney General
Crime / Pennsylvania

Philadelphia Pharmacy Accused of $2M HIV Drug Scam Using Unregulated Medications

July 31, 2025July 31, 2025 - by Zainuddin Harinder

HARRISBURG, PA — Pennsylvania Attorney General Dave Sunday announced criminal charges this week against a Philadelphia pharmacy accused of dispensing unregulated HIV medications while fraudulently billing Medicaid and Medicare for …

Philadelphia Pharmacy Accused of $2M HIV Drug Scam Using Unregulated Medications Read More
Centers for Medicare & Medicaid Services
National

Feds Launch $14 Billion Crackdown on Duplicate Medicaid and ACA Enrollments

July 21, 2025July 20, 2025 - by Maryann Pugh

WASHINGTON, D.C. — In a sweeping effort to restore financial integrity and reduce fraud in America’s healthcare system, the Centers for Medicare & Medicaid Services (CMS) announced a major enforcement …

Feds Launch $14 Billion Crackdown on Duplicate Medicaid and ACA Enrollments Read More
Centers for Medicare & Medicaid Services
Health / Medical / National

Medicaid to Expand Access to Life-Changing Gene Therapy for Sickle Cell Patients in 33 States

July 21, 2025July 20, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) has unveiled a groundbreaking initiative aimed at expanding access to potentially curative gene therapies for individuals with sickle cell …

Medicaid to Expand Access to Life-Changing Gene Therapy for Sickle Cell Patients in 33 States Read More

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