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CMS Innovation Center releases FAQ on prior authorization program pilot

The Centers for Medicare & Medicaid Services Innovation Center Aug. 12 released an FAQ on the Wasteful and Inappropriate Service Reduction Model, a six-year technology-enabled prior authorization program pilot.
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CMS releases 2025-2026 Medicaid Managed Care Rate Development Guide

The Centers for Medicare & Medicaid Services has issued the 2025-2026 Medicaid M
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AHA webinar: Learn how age-friendly health systems can improve care

The AHA on Aug. 14 at 1 p.m. ET will host a webinar on age-friendly health systems and how they can strengthen care delivery.
News

Setting the Record Straight: Beware of Opinions Masquerading as Facts

For health care organizations that care for the 70 million Medicaid patients in the U.S., provider taxes are a life vest that keep state Medicaid programs afloat and allow them to continue providing critical health care services for their communities.
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Federal agencies signal a shift in enforcement of short-term health insurance rules

The U.S. Departments of Labor, Health and Human Services, and the Treasury announced Aug. 7 that they are reconsidering the definition of short-term, limited-duration insurance through a formal rulemaking process.
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Analysis finds ACA plans seek to more than double last year’s median proposed premium increase

A new analysis published Aug. 6 by the Peterson Center on Healthcare and KFF found that Health Insurance Marketplace insurers will propose a median premium increase of 18% for 2026.
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FDA announces labeling changes to opioid pain medications 

The Food and Drug Administration July 31 announced that it is requiring safety label changes to all opioid pain medications to further emphasize and explain the risks associated with long-term use.
News

Senate committee advances appropriations bill

The Senate Appropriations Committee July 31 advanced the fiscal year 2026 appropriations bill for the Departments of Labor, Health and Human Services, Education and other agencies by a bipartisan 26-3 vote. The bill provides approximately $197 billion in discretionary funding.
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Connect with Your Lawmakers and Urge Them to Protect Access to Care

House members are back in their districts for the August recess and senators are likely to return to their states soon.