Centers for Medicare & Medicaid Services

Sturgis Hospital in Michigan closed after over a century of service due to financial challenges, impacting 300 employees and signaling broader struggles for rural hospitals. The closure highlights systemic issues like declining reimbursements, rising costs, and federal policy changes affecting rural healthcare.

The Trump administration has narrowed the definition of 'medically frail' for Medicaid exemptions from work requirements, requiring significant health conditions and impairment in work ability. States worry this change could lead to coverage loss for sick and disabled enrollees, prompting a lawsuit from 25 Democratic-led states. Medicaid agencies face challenges implementing the new guidelines, which add documentation hurdles for recipients.

Obamacare enrollment has declined significantly in states like Ohio, Oklahoma, Arizona, South Carolina, and Minnesota following the expiration of federal subsidies. Nationally, enrollment dropped by 13% (about 3 million people), attributed to improper sign-ups and reduced premium payments after subsidies ended.

Some offices and services will close on Friday, July 3, ahead of Independence Day, which falls on a Saturday this year. Federal agencies like the Social Security Administration and Medicare & Medicaid Services will be closed, while the U.S. Postal Service remains open Friday but closed Saturday. Retailers and restaurants generally operate normally, though Costco and some stores have adjusted weekend hours.

The Trump administration proposes a rule to prevent hospitals in the 340B program from charging markups on discounted drugs for Medicare patients, estimating $1.1 billion in annual savings. The rule aims to change reimbursement formulas to reduce patient costs, but the American Hospital Association warns it could strain hospital finances and access to care.

The Trump administration is proposing a rule to prevent hospitals in the 340B program from billing insurers above discounted drug costs for Medicare patients, aiming to save $1.1 billion annually. The rule targets hospitals that currently markup drug prices, which could reduce patient costs but may also impact hospital revenues and services.

The Trump administration proposes a rule to prevent hospitals in the 340B program from charging markups on discounted drugs for Medicare patients, aiming to save $1.1 billion annually. The rule would reduce Medicare reimbursements for these hospitals by approximately 40%, targeting cost savings for patients while raising concerns about potential revenue losses for hospital systems.

The Trump administration proposes a rule to prevent hospitals in the 340B program from charging markups on discounted drugs for Medicare patients, aiming to save $1.1 billion annually. The rule would adjust Medicare reimbursement formulas for these hospitals, with an example showing potential savings on the prostate cancer drug Lupron Depot.

The Trump administration's new Medicaid guidance narrows the definition of 'medically frail' to require significant work impairment, raising concerns that many sick and disabled enrollees may lose coverage. States face challenges implementing work requirements under the One Big Beautiful Bill Act, with 25 Democratic-led states and D.C. suing over the revised guidelines.

A coalition of 25 states and the District of Columbia is suing the Trump administration over new Medicaid work requirements, arguing the policy unlawfully restricts access to healthcare. The lawsuit challenges the Centers for Medicare & Medicaid Services' (CMS) Interim Final Rule (IFR), which mandates documentation for exemptions to work, volunteer, or education requirements for Medicaid enrollees. The rule, effective in January 2027, would require able-bodied individuals to work 20 hours weekly while enrolled in free healthcare.

The Trump administration has narrowed the definition of 'medically frail' for Medicaid exemptions from work requirements, causing concerns that many sick and disabled enrollees may lose coverage. States are struggling to comply with the new guidelines, which require assessing a person's ability to work, and 25 Democratic-led states plus DC have sued over the policy.

The Trump administration has narrowed the definition of 'medically frail' for Medicaid exemptions, requiring recipients to prove significant work impairment. States are struggling to implement the new work requirements, and 25 Democratic-led states plus DC have sued over the policy.

The Trump administration has narrowed the definition of 'medically frail' for Medicaid exemptions from work requirements, prompting concerns that many sick and disabled enrollees may lose coverage. Twenty-five Democratic-led states and the District of Columbia have sued the administration over the new guidelines, which require individuals to prove significant work impairment due to health conditions.

The Centers for Medicare & Medicaid Services is launching a temporary pilot program to cover weight loss drugs for some seniors, effective through the end of 2027.

Over 1 million people enrolled in Obamacare plans lack Social Security Numbers, according to Health and Human Services Secretary Robert F. Kennedy Jr. and Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz. They stated the situation is 'plagued by fraud'.

President Donald Trump announced the nomination of Chris Klomp to serve as deputy secretary of the Department of Health and Human Services (HHS). Trump cited Klomp's leadership in Medicare operations and his commitment to healthcare reforms, including the Most Favored Nation Drug Pricing Policy. The decision was made in collaboration with HHS Secretary Robert F. Kennedy, Jr. and CMS Administrator Dr. Mehmet Oz.

Elevance Health, a Medicare Advantage company, paid $342 million to the U.S. government to settle allegations of overcharging Medicare for years. The payment followed a CMS enforcement action demanding corrections to billing practices, marking the first time CMS secured such a large repayment from a Medicare Advantage plan.

Minnesota's Department of Human Services is revalidating Medicaid and Medicare providers, leading to the disenrollment of over 3,400 providers due to paperwork, background checks, or site visits. Only 200 have been reapproved, causing delays for new patients and service renewals, with incomplete documentation further slowing the process.

Minnesota’s Medicaid director is testifying before Congress about fraud in the state’s Medicaid program, which faces a $1 billion loss estimate from January 2022 to October 2025. Federal officials deferred $350 million in Medicaid funding after an audit found unusually high spending and rapid growth in 14 high-risk programs.

A Texas doctor, Jason Finkelstein, 53, has been charged in an $89 million healthcare fraud case for billing insurers for unnecessary cardiovascular screening tests on college athletes and falsifying results without review, leading to a patient's death due to undetected heart issues. The Justice Department highlighted the case as part of a nationwide crackdown on healthcare fraud, emphasizing schemes that risk patient lives.

A Texas doctor was charged in an $89 million healthcare fraud case for billing insurers for unnecessary cardiovascular tests on college athletes and falsifying results. The indictment alleges the scheme, which spanned 2019 to 2022, included deceptive marketing and kickbacks, with one patient later dying from undetected heart issues. The Justice Department highlighted the case as part of a nationwide crackdown on healthcare fraud.

A Texas doctor, Jason Finkelstein, faces charges in an $89 million healthcare fraud scheme involving medically unnecessary cardiovascular tests for college athletes. Prosecutors allege he certified test results as normal without review, leading to undetected heart issues in a patient who later died. The Justice Department highlighted the case as part of a nationwide crackdown on healthcare fraud.

Mount Nittany Medical Center is suing the federal government over the revocation of its 'sole community hospital' status, which it claims will cost millions in Medicare funding. The hospital argues the decision is baseless and jeopardizes healthcare access in Central Pennsylvania following the opening of Penn Highlands Health.

Senate Democrats are seeking to force a vote to overturn a Trump administration rule affecting Affordable Care Act enrollment and costs, arguing it will increase out-of-pocket expenses and reduce coverage. The rule, which includes stricter income verification and higher cost limits, is opposed by Democrats who claim it harms consumers amid rising healthcare costs.

Federal officials have rejected state proposals to use $50 billion in rural health funding for initiatives like treating low-income patients, enforcing strict adherence to application promises through clawback threats. The Rural Health Transformation Program, part of the One Big Beautiful Bill Act, allows the Centers for Medicare & Medicaid Services (CMS) to withhold or recover funds if states deviate from approved plans.

The Trump administration finalized ACA changes allowing plans with higher out-of-pocket costs and no set provider networks, aiming to expand consumer choice but potentially reducing enrollment by up to 2 million next year. Experts warn these changes could erode ACA safeguards and worsen healthcare affordability challenges.

Ross and Rebecca Tobiassen canceled their Affordable Care Act (ACA) coverage after premiums increased from $130 to $550 monthly. The couple, who own a small auto shop, cited rising costs and inadequate coverage for work-related injuries. ACA enrollment is declining as enhanced tax credits expired in 2025, with North Carolina experiencing a 22% drop in individual sign-ups.

The Trump administration issued final rules requiring Medicaid enrollees in certain states to prove they are working or engaged in qualifying activities like job training or education. The rules, part of the One Big Beautiful Bill Act, will affect roughly 18.5 million Medicaid expansion enrollees, with exemptions for children, pregnant people, individuals with disabilities, and those deemed medically frail. States are implementing systems to enforce the requirements, with some starting enforcement before the 2027 rollout.

The Trump administration issued final rules requiring Medicaid enrollees in expansion states to prove they are working or participating in qualifying activities. The rules, effective in most states by January 2027, exempt children, pregnant people, individuals with disabilities, and those deemed medically frail. States like Nebraska, Montana, and Arkansas are implementing the requirements with varying start dates and enforcement timelines.

Over 333,000 Missourians lost Medicaid coverage from January 2025 through February 2026, with 91.9% of terminations due to paperwork issues rather than ineligibility. New federal Medicaid rules and Missouri's implementation of work requirements and twice-yearly eligibility checks raise concerns about further coverage losses, particularly for medically frail individuals like cancer patients.

Vice President J.D. Vance referred Minnesota Gov. Tim Walz and Minnesota Attorney General Keith Ellison to the Justice Department for a potential criminal investigation over alleged fraud in federally funded social services programs, citing a House Oversight Committee report alleging officials ignored fraud warnings due to litigation threats and discrimination concerns. Vance accused state officials of not taking fraud seriously and silencing whistleblowers, while Walz called federal actions a 'campaign of retribution' against Minnesota.

Dr. Mehmet Oz and Tammy Haddad spoke onstage during the AI Honors event hosted by the Washington AI Network. The event celebrated AI's elite in Washington.

Lawmakers pledged to protect cancer patients from Medicaid cuts, but the Centers for Medicare & Medicaid Services (CMS) later indicated otherwise. Advocates opposed proposed work reporting requirements for Medicaid enrollees, arguing that cancer patients cannot meet the mandated 80 hours of monthly work or community service due to their condition.

The federal government released new guidance for states to implement Medicaid work requirements affecting 20 million adults, with a 2027 deadline. Critics argue the timeline is unworkable and risks losing coverage for eligible individuals, while CMS claims it promotes independence through work or education.

The Trump administration’s Medicaid work requirements mandate that millions of Americans must work or risk losing health benefits, forcing states to overhaul systems less than seven months before enforcement. New regulations by the Centers for Medicare & Medicaid Services detail verification processes and exemptions, but states face high costs and technical challenges due to existing system errors.

The federal government released guidance on implementing Medicaid work requirements, which could result in up to 7 million people losing insurance by 2027. States must verify work status for 20 million Medicaid enrollees, facing a tight deadline and criticism from governors who argue the timeline is unworkable. The policy, part of the One Big Beautiful Bill Act, requires adults in expanded Medicaid states to work or engage in approved activities for 80 hours monthly.

The federal government released new guidance for implementing Medicaid work requirements affecting 20 million adults, with a 2027 deadline. States have criticized the timeline as unworkable, citing risks of coverage loss, while the policy aims to require monthly work or community service for eligibility.

The federal government released new guidance for Medicaid work requirements affecting 20 million adults, with a 2027 deadline for states to implement. States argue the timeline is unworkable, while critics warn of coverage losses based on past examples like Arkansas.

Dr. Mehmet Oz, head of the Centers for Medicare & Medicaid Services, participated in a White House briefing but avoided answering certain questions.

Dr. Mehmet Oz, head of the Centers for Medicare & Medicaid Services, avoided answering questions during a White House briefing about Bill Pulte's nomination to lead national intelligence, stating the topic was 'out of my lane.' The White House has been using various officials for briefings while press secretary Karoline Leavitt is on maternity leave, with Oz focusing on healthcare updates like adding medications to the TrumpRx website.