Centers for Medicare and Medicaid Services
Coverage of Centers for Medicare and Medicaid Services in the Nexus archive.
- Obamacare premiums likely to surge again next year
Obamacare premiums are projected to rise by a median of 14% in 2027, with 77 insurers across 16 states and Washington, D.C., proposing increases. The hikes follow the expiration of enhanced subsidies and rising healthcare costs, leading to fewer healthier enrollees and higher costs for those with incomes above 400% of the federal poverty level.
- Obamacare premiums likely to surge again next year
Obamacare premiums are projected to rise by 14% in 2027, with insurers citing rising healthcare costs and expired subsidies as key factors. The analysis of 77 insurers across 16 states and Washington, D.C., shows most proposing increases between 10-20%, while 20 insurers seek hikes above 20%. Marketplace enrollments have dropped by 2.6 million since February 2023.
- Obamacare premiums likely to surge again next year
Health insurance premiums for Affordable Care Act Marketplace plans are projected to rise by a median of 14% in 2027, marking the second consecutive year of double-digit increases. Insurers attribute the hikes to expired subsidies, rising healthcare costs, and federal regulatory changes, while enrollments in Marketplace plans have dropped by 2.6 million since February 2023.
- Obamacare premiums likely to surge again next year
Health insurance premiums for Affordable Care Act Marketplace plans are projected to rise by a median of 14% in 2027, with no proposed decreases. Insurers attribute the increases to rising healthcare costs, expired subsidies, and regulatory changes. The analysis by the Peterson Center on Healthcare and KFF reviewed 77 insurers across 16 states and Washington, D.C.
- Obamacare premiums likely to surge again next year
Obamacare premiums are projected to rise by 14% in 2027, with insurers citing rising healthcare costs and expired subsidies as key factors. A report by the Peterson Center on Healthcare and KFF found 77 insurers across 16 states propose median increases between 10% and 20%, marking the second consecutive year of double-digit hikes. Marketplace enrollments dropped by 2.6 million in February compared to the prior year.
- Ohio University receives first award from Rural Health Transformation Fund
Ohio University will receive $10 million from the federal Rural Health Transformation Program to address healthcare workforce needs in rural communities. The funding, part of Ohio's total $202 million allocation, will support programs like summer camps, career fairs, and apprenticeships for students.
- Local Leaders react to report that found 2 dozen alleged violations at Northern Louisiana Medical Center
Elected leaders in Lincoln Parish, Louisiana, are responding to an 87-page report identifying 24 alleged violations at Northern Louisiana Medical Center (NLMC). The report from the U.S. Department of Health and Human Services and CMS could lead to the hospital's Medicare provider agreement termination in 2026 if deficiencies are not corrected, with the operator, Allegiance Health Management, facing financial challenges.
- One year after passage, Trump health care law remains politically divisive
President Donald Trump signed the Big Beautiful Bill Act one year ago, which the Trump administration claims has reduced Medicaid costs and prevented $42 billion in fraudulent health care spending. Democrats argue the law weakens health care programs for low-income Americans, while Dr. Mehmet Oz, administrator of Medicare and Medicaid, defends stricter work requirements and enrollment changes. Estimates suggest over $1 trillion was cut from federal health care spending, with 4.8 million Americans losing Medicaid coverage.
- Minnesota social service providers frustrated by Medicaid reviews
Minnesota's Department of Human Services reviewed nearly 5,500 social service providers in high-risk areas like autism and elderly care over five months, leading to widespread disruptions. Nearly two-thirds of providers received disenrollment notices due to paperwork issues, site visit failures, or background checks, causing payment interruptions and uncertainty for families relying on these services.
- Medicare will start covering weight-loss drugs on July 1 for the first time. Here’s what you need to know
Medicare will start covering weight-loss drugs via a temporary pilot program on July 1, allowing millions of enrollees access to medications like Wegovy and Zepbound at significantly reduced costs under a deal with Eli Lilly and Novo Nordisk. The program aims to address obesity as a treatable disease, offering seniors like Mary and Jeff Abrahamson affordable options that improve health outcomes.
- 25 Democratic-led states sue Trump administration over Medicaid work requirements
25 Democratic-led states and the District of Columbia have sued the Trump administration over new Medicaid work requirements, arguing the federal guidance narrows the 'medically frail' exemption, making it harder for disabled or ill individuals to remain on Medicaid. The lawsuit challenges the administration's interpretation of the One Big Beautiful Bill Act, which mandates monthly work or community service for Medicaid recipients in expanded eligibility states.
- Opinion: The $50 Billion Rural Healthcare Opportunity States Can’t Afford To Miss
The Rural Health Transformation Program, a $50 billion federal initiative from 2026 to 2030, aims to address rural healthcare crises by funding state-led efforts to stabilize hospitals and build sustainable health systems. Education and workforce development are key priorities, with a focus on creating pathways for rural students into nursing careers through cross-sector partnerships like Indiana's RAZ-32 model.
- 25 Democratic-led states sue Trump administration over Medicaid work requirements
25 Democratic-led states and the District of Columbia have sued the Trump administration over Medicaid work requirements, challenging new federal guidance that narrows the 'medically frail' exemption. The lawsuit argues the guidance makes it difficult for disabled and ill individuals to remain on Medicaid.
- Arizona joins Democratic-led states to sue Trump administration over Medicaid work requirements
Twenty-five Democratic-led states and the District of Columbia sued the Trump administration over new Medicaid work requirements, arguing the federal guidance narrows the 'medically frail' exemption, making it harder for disabled and ill individuals to retain coverage. The lawsuit challenges the implementation of work requirements under the One Big Beautiful Bill Act, which mandates 80 hours of monthly work or community service for Medicaid eligibility in 40 states.
- 25 Democratic-led states sue Trump administration over Medicaid work requirements
25 Democratic-led states and the District of Columbia have sued the Trump administration over new Medicaid work requirements, arguing the 'medically frail' exemption is too narrow. The lawsuit challenges federal guidance that narrows who qualifies for exemptions from the 80-hour monthly work requirement under the One Big Beautiful Bill Act.
- 25 Democratic-led states sue Trump administration over Medicaid work requirements
25 Democratic-led states and the District of Columbia have sued the Trump administration over new Medicaid work requirements, arguing the federal guidance narrows the definition of 'medically frail' and makes it harder for disabled or ill individuals to remain on Medicaid. The lawsuit challenges the implementation of work rules under the One Big Beautiful Bill Act, which requires Medicaid recipients in 40 states to work or engage in community service for 80 hours monthly.
- Why the Trump administration’s curveball on ‘medical frailty’ matters for Medicaid in Minnesota
The Trump administration's revised definition of 'medical frailty' for Medicaid work requirements in Minnesota imposes stricter criteria, requiring individuals to demonstrate both a medical condition and an inability to work. This change complicates state implementation and expands administrative challenges for Minnesota and other states adapting to federal Medicaid mandates under the One Big Beautiful Bill.
- 25 Democratic-led states sue Trump administration over Medicaid work requirements
25 Democratic-led states and the District of Columbia have sued the Trump administration over Medicaid work requirements, arguing the new federal guidance narrows the definition of 'medically frail' and makes it harder for disabled and ill individuals to remain on Medicaid. The lawsuit challenges the administration's implementation of work requirements under the One Big Beautiful Bill Act, which mandates 80 hours of monthly work or community service for Medicaid eligibility in expanded programs.
- Pa. joins multi-state lawsuit against Trump administration over Medicaid work requirement rules
Pennsylvania has joined a multi-state lawsuit challenging the Trump administration's Medicaid work requirement rules under the One Big Beautiful Bill Act. The lawsuit argues the new requirements, which mandate community engagement and work hours for Medicaid benefits, will cause harm and complexity for states to implement.
- 25 Democratic-led states sue Trump administration over Medicaid work requirements
25 Democratic-led states and the District of Columbia sued the Trump administration over new Medicaid work requirements, arguing the 'medically frail' exemption is too narrow. The lawsuit challenges federal guidance narrowing who qualifies for exemptions from the 80-hour monthly work requirement under the One Big Beautiful Bill Act.
- Dozens of states sue Trump administration over ‘frail’ Medicaid work requirement exemption
25 states and the District of Columbia are suing the Trump administration over a Medicaid rule that allows exemptions from work requirements for medically frail individuals. The lawsuit claims the Centers for Medicare and Medicaid Services (CMS) violated congressional protections by implementing the exemption.
- Democrats in half of states sue Trump administration over Medicaid work rules
Democrats in 25 states and the District of Columbia sued the Trump administration over new Medicaid work requirements, arguing the rules will block eligible Americans from accessing healthcare. The lawsuit challenges the Trump administration's interpretation of Medicaid laws, including stricter definitions of medical frailty exemptions, which states claim create coverage barriers.
- Democrats in half of states sue Trump administration over Medicaid work rules
Democrats in 25 states and the District of Columbia sued the Trump administration over Medicaid work requirements, arguing the rules will limit access to healthcare. The lawsuit challenges the Trump administration's interpretation of Medicaid exemptions, claiming it creates barriers for eligible individuals, including those with disabilities or serious health conditions.
- Democrats in half of states sue Trump administration over Medicaid work rules
Democrats in 25 states and the District of Columbia sued the Trump administration over Medicaid work requirements, arguing the rules will block eligible Americans from accessing healthcare. The lawsuit claims the administration's interpretation of the law creates harmful coverage barriers, particularly for people with disabilities or serious health conditions.
- Democrats in half of states sue Trump administration over Medicaid work rules
Democrats in 25 states and the District of Columbia sued the Trump administration over Medicaid work requirements, claiming the rules will block eligible Americans from accessing healthcare. The lawsuit challenges an interim final rule by the Centers for Medicare and Medicaid Services (CMS) that narrows exemptions for medical frailty, creating coverage barriers for individuals with disabilities or serious health conditions.
- Millions dropped ObamaCare plans after subsidies ended
About four million Americans have dropped out of Affordable Care Act insurance coverage this year as costs soared due to the loss of enhanced subsidies. The figures were released by the Centers for Medicare and Medicaid Services.
- State report finds proper life-saving measures were not performed before nursing home resident’s death
A state and federal investigation found that continuous CPR was not performed immediately before a 60-year-old man died at The Waters of Springfield nursing home in Tennessee. The facility was fined over $23,000 for failing to provide life-saving measures, as confirmed by a report following a complaint filed by the man’s daughter.
- Trump administration tightens oversight of state Medicaid demonstration programs
The Trump administration announced stricter financial oversight for Medicaid demonstration waivers, requiring actuarial certification to ensure budget neutrality. Starting January 1, 2024, states must prove waivers won't increase federal spending, with enhanced monitoring and documentation requirements. The policy aligns with broader efforts to limit Medicaid spending and reverses aspects of previous expansions.
- Trump administration tightens oversight of state Medicaid demonstration programs
The Trump administration announced stricter financial oversight for state Medicaid demonstration waivers, requiring certification from the CMS chief actuary to ensure no increase in federal spending. Starting January 1, 2024, states must submit detailed spending analyses and documentation for waiver approvals, part of a broader effort to curb Medicaid spending.
- Trump administration tightens oversight of state Medicaid demonstration programs
The Trump administration announced stricter financial oversight of Medicaid demonstration waivers, requiring certification from the CMS chief actuary to ensure programs do not increase federal spending. Starting January 1, 2024, states must provide enhanced spending analyses and documentation for waiver approvals, with CMS implementing increased monitoring and evaluation.
- What to know about the temporary Medicare GLP-1 Bridge program
Starting in July, Medicare beneficiaries can access GLP-1 medications via a temporary program with a flat monthly fee. The program, set to run until 2027, faces operational uncertainties ahead of its launch.
- STAT+: CMS recalculates Medicare Advantage star ratings again, adding more volatility to program
Federal officials recalculated the 2026 Medicare Advantage star ratings due to legal challenges from health insurance companies over lower ratings affecting bonus payments. The bonuses for plans with at least four stars have reached $16 billion this year, doubling since 2020.
- Trump administration tightens oversight of state Medicaid demonstration programs
The Trump administration announced stricter financial oversight for Medicaid demonstration waivers, requiring certification from the CMS chief actuary to ensure programs do not increase federal spending. Starting January 1, 2024, states must provide detailed spending analyses and align applications with Medicaid statute objectives, reversing prior policies that expanded waiver flexibility.
- Trump administration tightens oversight of state Medicaid demonstration programs
The Trump administration announced stricter financial oversight for state Medicaid demonstration waivers, requiring certification from the CMS chief actuary to ensure budget neutrality. Starting January 1, 2024, applications must include detailed spending analyses and align with Medicaid statute objectives, reflecting a broader crackdown on state Medicaid spending.
- Trump administration tightens oversight of state Medicaid demonstration programs
The Trump administration announced stricter financial oversight for state Medicaid demonstration waivers, requiring certification from the CMS chief actuary to ensure budget neutrality. States must now provide more spending analyses and documentation, with applications denied if they increase federal spending or deviate from projected costs.
- Threatened Medicaid funding for addiction treatment throws moms, kids and a town into limbo
Medicaid funding cuts threaten Recovering Hope Treatment Center in Mora, Minnesota, a facility where women with substance use disorder live with their infants and young children. The center, which relies on Medicaid, faces potential closure after failing a state revalidation process amid federal scrutiny over fraud scandals linked to President Donald Trump’s second term.
- STAT+: Trump administration revisits policy to close Medicare drug price negotiation loophole
The Trump administration proposed a policy to prevent drugmakers from evading Medicare price negotiations by adding active ingredients to drugs. The policy aims to finalize the selection of 20 drugs and biologics for negotiation by February 1, 2027, with negotiated prices taking effect in 2029. Medicare typically waits 7 to 11 years after FDA approval before negotiating prices, with biologics requiring longer delays.
- Lawsuit against Vermont nursing home for allegedly allowing racial harassment of staff headed to trial
A federal lawsuit alleging racial harassment of Black employees at Elderwood at Burlington nursing home in Vermont is proceeding to trial. The U.S. Equal Employment Opportunity Commission claims the facility failed to address harassment by residents and amended its complaint to include additional operators. The trial is set for December 2024.
- 'Transgender madness' under fire after Congress lets taxpayer funding ban lapse
Senator Josh Hawley is demanding an investigation into Planned Parenthood's use of $1.5 billion in Medicare and Medicaid funding, alleging the organization promotes transgender procedures on minors. The current ban on federal tax dollars for abortion providers, including Planned Parenthood, is set to lapse on July 4.
- Policy Points: Takeaways from the 2026 Medicaid Summit
MassHealth officials are preparing for 2027 Medicaid changes requiring 80 monthly hours of work or earnings of $580 for adults aged 19-64, with exemptions for pregnant individuals, disabled people, and caregivers. The 2026 Medicaid Summit highlighted challenges in minimizing coverage losses and administrative burdens as states like Massachusetts adjust to federal guidelines under the One Big Beautiful Bill Act.