Medicaid Payment and Reimbursement

Senate Medicaid hearing highlights the debate over federal spending cuts

Cuts to federal Medicaid spending are necessary to streamline the program and don’t necessarily portend tough times for providers, conservative policymakers and analysts argued during a Senate hearing. The Aug. 4 hearing of the Senate Budget Committee included discussion of whether healthcare policies in the One Big Beautiful Bill Act (OBBBA) should be scaled back…

By Nick Hut August 6, 2026

Medicaid provider tax proposed rule could cut payments by $220 billion over 10 years

A proposed rule from CMS implements anticipated changes to the system of provider taxes that help fund supplemental reimbursement in Medicaid. The changes are required under the One Big Beautiful Bill Act (OBBBA, also referred to as the Working Families Tax Cut legislation), with the proposed rule filling in details. The repercussions of the rule…

By Nick Hut July 22, 2026

Medicaid work requirement lawsuit targets CMS exemption rules

July 30 update A federal judge at the U.S. District Court for Massachusetts denied a request for a preliminary injunction of CMS regulations implementing the Medicaid work requirement. The plaintiffs specifically challenged how the regulations defined medically frail as a criterion for an exemption to the work requirement, plus how a specific short-term hardship exception…

By Nick Hut June 30, 2026

Medicaid administrative burden hits providers

Administrative burden is one of the strongest predictors of whether providers remain in Medicaid, according to a recent provider survey. Overall, 28% of providers report dissatisfaction with Medicaid administrative processes, and only 51% say they are satisfied, according to the survey from Gainwell Technologies, a Medicaid program consulting firm. The findings point to a growing…

By Rich Daly April 27, 2026

States boost Medicaid budgets as enrollments decline

Amid ongoing and projected Medicaid enrollment decreases, most states are boosting their Medicaid budget proposals. Nationally, Medicaid enrollment is shrinking. From December 2024 to December 2025, national Medicaid and CHIP enrollment has decreased 4%, from 78.9 million to 75.7 million, according to CMS. That has continued into 2026, with Wells Fargo analysts reporting a 2%…

By Rich Daly April 20, 2026

Federal scoring system spurs state action on certificate-of-need laws

Spurred on by the Trump administration, five states plan to undertake changes in their certificate-of-need (CON) laws this year: Their plans were highlighted in late 2025 applications for a share of the $50 billion Rural Health Transformation (RHT) program, authorized by the One Big Beautiful Bill Act (OBBBA). That law allowed the Trump administration to…

By Rich Daly January 26, 2026

News Briefs: Hospital labor costs rose by almost 40% between 2019 and early 2022

As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.

By Nick Hut May 27, 2022
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