Medicaid and CHIP eligibility, funding, waiver, reimbursement, and coverage updates.
Postpartum mental-health support is stretching across the full first year after birth, with longer Medicaid coverage, more screening chances, and a federal hotline.
Some plans now have to post 2025 prior-authorization data. Here is what patients and clinicians can learn from the new CMS reports, and what they cannot.
Minnesota’s Medicaid funding deferral does not automatically end coverage. The closer short-term risk is provider payment strain, tighter oversight, and access friction.
Certain Medicare Advantage, Medicaid, CHIP, and HealthCare.gov marketplace plans now have to post prior authorization data from 2025. Here’s what patients can check, what the numbers mean, and what the reports still leave out.
CMS is asking states to break out more Medicaid and CHIP quality results by race and ethnicity, sex, and geography in 2026. That could make gaps in child, pregnancy, and behavioral health care easier to see, but better reporting alone will not fix unequal care.
The March 2026 MACPAC Report to Congress reviews Medicaid and CHIP enrollment after the COVID-19 unwinding, access to care challenges, managed care oversight, and federal–state financing pressures. Here’s what families should know.
New federal rules are rolling out in 2026–2027 to shorten prior authorization timelines, require clearer denial explanations, and move more requests online for certain Medicare Advantage, Medicaid, CHIP, and Marketplace plans. Here’s what’s changing — and what it means for patients.
New CMS rules are changing how prior authorization works for many Medicare Advantage, Medicaid managed care, CHIP, and ACA Marketplace plans. Here’s what’s different in 2026, what hasn’t changed, and what to do if your care is delayed or denied.
The latest CDC data show that pregnancy-related deaths in the United States remain significantly higher for Black women and some American Indian and Alaska Native women than for White women. Here’s what the numbers mean, why many deaths happen after delivery, and what extended Medicaid coverage may realistically change.
Starting in 2026, many Medicare Advantage, Medicaid, CHIP, and Marketplace plans must publicly report how often they approve or deny prior authorization requests and how long decisions take. Here’s what that new transparency could mean for patients and clinicians.
A temporary Medicaid funding deferral in Minnesota has raised questions about coverage, provider payments, and federal oversight. Here’s what enrollees and healthcare providers should understand about how Medicaid financing works and what could happen next.
Minnesota’s reported Medicaid funding deferral has raised questions about coverage stability, provider payments, and oversight. Here’s what enrollees and healthcare providers should understand now.
Recent federal data and policy updates show that insurance coverage has improved for many Americans since the pandemic—but gaps remain, especially for low-income families, people of color, and those living in states with limited Medicaid access. Here’s what that means for everyday health and how to protect your coverage.
Vaccines are recommended by expert panels, covered by most insurance plans, and provided at low or no cost through federal programs—but access can still be confusing. Here’s how U.S. immunization policy works and what it means for you and your family.
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