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House Republicans pass budget blueprint that could spell Medicaid cuts

Health Care Dive

Although the budget resolution does not mention Medicaid specifically, lawmakers would be hard pressed to find enough cuts to meet an $880 billion target without touching federal healthcare programs.

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Report: CMMI has raised federal spending, not lowered it

Fierce Healthcare

The Center for Medicare and Medicaid Innovation (CMMI), once expected to save money and deliver healthcare at a lower cost, is increasing federal spending after all. CMMI was designed to reduce federal healthcare spending, but a new CBO reports shows its had the opposite effect.

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UHS’ income soars in 2024 on behavioral health volume

Health Care Dive

Still, executives addressed concerns about potential changes to federal healthcare policy that could impact the provider’s bottom line, including cuts to Medicaid.

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Code Red: Healthcare Cybersecurity in a Post-Chevron World

HIT Consultant

Making HPH-CPGs a Condition of Participation (CoP) for CMS : The Centers for Medicare & Medicaid Services (CMS) could require adherence to HPH-CPGs as a condition for participating in Medicare and Medicaid programs.

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Direct-to-patient platform uses AI to find gaps in care

Healthcare It News

said they were also concerned about creating the potential for inappropriate prescribing that can increase spending for federal healthcare programs, noting that the Anti-Kickback Statute prohibits the willful payment of remuneration to induce patient referrals for Medicare or Medicaid-covered services or goods.

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Why The End of the Public Health Emergency is Everyone’s Problem

HIT Consultant

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . There has never been a greater need for state and federal health and human services agencies to collaborate and take decisive action nowto be prepared.

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CMS Augments “In Lieu Of Services” Medicaid Guidance to Support State Medicaid Managed Care Efforts to Address Social Determinants of Health

Sheppard Health Law

In Lieu of Services and Settings Background Though federal healthcare programs generally excluded non-clinical services from reimbursement, the evolution of value-based care prompted managed care plans to provide alternative benefits to enrollees under flexibilities in their risk-based contracts. ILOSs must be medically appropriate.