News
Governors and State Medicaid Directors Get a New Assignment from Dr. Oz: Quickly Recertify "High-Risk" Providers
12+ hour, 44+ min ago (1056+ words) Georgetown University On April 23, CMS Administrator Dr. Mehmet Oz sent a letter to all 50 Governors calling upon their Medicaid programs to "undertake a swift revalidation of Medicaid providers of services at high risk of waste, fraud, abuse, and corruption." In…...
Long-Standing State-Based Efforts to Combat Fraud Against Medicaid Continue to Improve
2+ week, 12+ hour ago (229+ words) Dr. Oz and the current administration are also treating fraud in health insurance as though it is unique to government programs (it's not) and as though it is a new issue (it's not). So, what laws are already in place…...
New Report Highlights State Data, Strategies to Protect Pregnant and Postpartum Women from Losing Medicaid Coverage Due to Red Tape
3+ week, 2+ day ago (882+ words) Georgetown University As states press forward to implement the newly required work reporting requirements (WRRs) for Medicaid expansion adults starting next year, researchers at Georgetown CCF remain concerned about coverage losses among those adults who do everything right but still…...
CMS Releases Guidance on 6-Month Medicaid Renewals for Expansion Adults
1+ mon, 2+ week ago (603+ words) Center For Children and Families'Georgetown University Guidance on implementing six-month renewals for the Medicaid adult expansion group, as required by H. R. 1 was sent to state Medicaid directors earlier today (March 6, 2026). The delayed guidance (which was due by December 31, 2025) has kept states…...
CMS Weaponizes Fraud Against Medicaid in Minnesota: Part 2
1+ mon, 3+ week ago (104+ words) Also, fiscal context matters. Minnesota, like all expansion states, was targeted for large Medicaid cuts in H. R. 1; researchers at RAND estimate that these cuts will reduce Minnesota's Medicaid spending (combined federal and state) by a total of $9. 1 billion between 2025 and 2034." The…...
New State-by-State Medicaid and CHIP Tracker Shows Declining Enrollment as H. R. 1 Cuts Loom
1+ mon, 3+ week ago (243+ words) To help policymakers, stakeholders, and researchers monitor enrollment trends as states implement new policies, CCF is launching an expanded 50-state Medicaid and CHIP enrollment tracker. As of October 2025 (the most recent month for which all states have data), 36. 4 million children…...
Self-Help Tools and Tutorials Are Critical to Implementing Medicaid Work Reporting Requirements
2+ mon, 2+ week ago (532+ words) Georgetown University Last week we updated our scan of Medicaid renewal tutorials and self-help tools in advance of implementation of semi-annual renewals for the Medicaid expansion group starting in 2027. For all enrollees, not just expansion adults, it's important to states…...
CMS Weaponizes Fraud Against Medicaid in Minnesota
3+ mon, 1+ week ago (1370+ words) Center For Children and Families'Georgetown University On January 6, 2026, the Centers for Medicare & Medicaid Services (CMS) Administrator, Dr. Mehmet Oz, sent a letter to the Governor of Minnesota, Tim Walz, notifying him that his state's Medicaid agency was "operating its program…...
Cash is No Substitute for Coverage: Why Health Insurance Matters
4+ mon, 2+ week ago (981+ words) As Congress ends the federal government shutdown, the underlying debate about extending enhanced premium tax credits (e PTCs) that help enrollees purchase coverage in the Affordable Care Act (ACA) m" As Congress ends the federal government shutdown, the underlying debate…...
The Clock is Ticking. Can Congress Prevent an Imminent Spike in Marketplace Premiums on January 1?
4+ mon, 2+ week ago (277+ words) Consumers facing sticker shock'are making hard choices. Anecdotal evidence suggests some are buying plans with high deductibles, but lower premiums, while others are foregoing coverage or waiting to enroll, hoping Congress acts to extend e PTCs.' There is also some…...