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Urban Safety-Net Hospitals Most Vulnerable to Looming Health Care Cuts

While a great deal of attention has been paid to the potential implications for rural hospitals of the coming $1 trillion in federal health care spending cuts over the next decade, it turns out that urban safety-net hospitals, not rural hospitals, may be even more vulnerable to the effects of these cuts. According to an analysis by the New York Times and Harvard’s T.H. Chan School of Public Health, of the 109 hospitals in the country that will be most vulnerable to these cuts, 85 percent are urban safety-net hospitals [...]

December 8, 2025|Categories: Congress, hospitals, Medicaid|Tags: federal health care cuts, medicaid spending cuts, Rural hospitals, safety-net hospitals, urban safety-net hospitals|

Federal Health Policy Update for December 4

The following is the latest health policy news from the federal government for November 21 through December 4. Some of the language used below is taken directly from government documents. Congress Congress is back in session to discuss the Affordable Care Act tax credits set to end on December 31and other extenders that will expire on January 30, 2026 along with the latest continuing resolution (CR). Members continue to negotiate potential solutions to the expiring enhanced Affordable Care Act premium subsidies but there is no consensus on whether or how [...]

December 4, 2025|Categories: 340b, Affordable Care Act, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Congress, health equity, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare regulations, Medicare reimbursement policy, Telehealth|Tags: ACCESS Model, Advancing Chronic Care with Effective Scalable Solutions Model, Affordable Care Act, ARPA-H, Health and Human Services Office of the Inspector General, health care extenders, Hospital Inpatient Services Modernization Act, hospital price transparency, Inflation Reduction Act of 2022, Medicaid and ICE, Medicaid and Immigration and Customs Enforcement, Medicaid state plan amendments, Medicare Advantage, Medicare and durable medical equipment prosthetics orthotics and supplies, Medicare and ESRD, Medicare and Medicaid nursing home staffing requirement, Medicare and telehealth, Medicare DMEPOS, Medicare Drug Price Negotiation Program, Medicare end-stage renal disease prospective payment system, Medicare home health prospective payment system, Medicare Hospital Acute Care at Home program, Medicare Part D, Medicare star ratings, Medicare TEAM model, MLN Connects, Review Choice Demonstration for Inpatient Rehabilitation Facility Services, state directed Medicaid payments, technology-supported care, TEFCA|

CMS Offers Preliminary Thoughts on Medicaid Provider Taxes

In a message to state Medicaid programs, the Centers for Medicare and Medicaid Services has laid preliminary groundwork for how it intends to interpret new limits on Medicaid provider taxes enacted under H.R. 1, a law passed in July that brought significant changes to U.S. tax law and major changes in Medicare and especially Medicaid; the bill also has become known as the “One Big Beautiful Bill Act.” With all but one state using Medicaid provider taxes to help finance their share of Medicaid spending and many states increasingly dependent [...]

November 24, 2025|Categories: Medicaid, Medicaid regulations|Tags: Medicaid provider taxes|

Federal Health Policy Update for November 20

The following is the latest health policy news from the federal government for November 14-20. Some of the language used below is taken directly from government documents. Medicare and Telehealth In guidance issued Thursday afternoon, CMS notes that on November 6 it instructed the MACs to return a subset of telehealth claims submitted on or before November 10 that at that time were no longer payable because the statutory provisions temporarily suspending various Medicare telehealth requirements expired on October 1 or were claims CMS could not identify as payable under [...]

November 20, 2025|Categories: Uncategorized|

Medicare, Medicaid Regulations Logjam Should Soon End

The shutdown of the federal government brought the usual flow of Medicare and Medicaid regulations to an almost complete halt. Now that the shutdown has ended, the logjam should end fairly quickly – and with a sense of urgency. Currently, a number of major Medicare and Medicaid regulations remain with the Office of Management and Budget for review. Even though the shutdown has now ended, it is not yet clear when they will be addressed. By statute, the following regulations must be implemented by January 1. CY 2026 Hospital Outpatient [...]

November 18, 2025|Categories: Alternative payment models, Centers for Medicare & Medicaid Services, hospitals, Medicaid, Medicaid managed care, Medicaid regulations, Medicaid regulations for long-term care, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy|Tags: amendments to rules governing organ procurement organizations, CY 2026 ambulatory surgical center payment regulation, CY 2026 Medicaid regulations, CY 2026 Medicare end-stage renal disease payment system regulation, CY 2026 Medicare hospital outpatient prospective payment system regulation, CY 2026 Medicare regulations, federal government shutdown, Medicaid managed care state directed payments regulation, Medicare and Medicaid conditions of participation regulation, Medicare and Medicaid minimum staffing regulation for long-term-care facilities|

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