CMS

Florida’s Medicaid shows the country's fourth largest decline since 2025, and advocates say that means more uninsured children. Meantime, the state prepares for a lawsuit over its stalled KidCare expansion.

The rule embraces new types of coverage, including 30% higher out-of-pocket costs for some plan and a more novel approach that allows insurers to offer coverage without set networks of doctors.

The funding, reported by Stat, flows through the state's Directed Payment Program and covers care delivered between Oct. 1, 2024, and Sept. 30, 2025.

Jude Odu, a health technology expert and former United Healthcare employee, discusses the dangers of outsourcing medical claims decisions to artificial intelligence.

The appeal comes as the nation is at risk of losing its measles elimination status and as Oz's boss, Health Secretary Robert F. Kennedy Jr., has raised suspicion about the safety and importance of vaccines.

Sign-ups are down nationally as extended tax credits approved during the COVID pandemic expired. As the enrollment deadline approached, Florida showed the largest drop: more than 260,000 fewer people.

The data had been used by the Centers for Medicare and Medicaid Services to assess the quality of care provided to children in publicly funded insurance programs.

Investigators from the GAO were able to register nearly 20 fake ACA enrollments in a probe of healthcare.gov. The federal government paid subsidies to insurers for some of the fake customers.

Amid concerns over fairness and access, all 50 states submitted applications with their priorities and potential innovations that CMS hopes will “right-size the health care system.”

Last of a four-part series: Legislators passed a public health insurance expansion that would help poor and disabled children get better coverage over a year ago, but funds remain unused.

In the federal lawsuit, the insurer claims the HHS and CMS quality ratings didn’t properly take into account disruptions caused by major flooding in 2023 in Broward County.

CMS finally accepted Florida’s application for a waiver, but with the stipulation that the state provides 12 months of continuous coverage. But the state doesn't want to accept the agency's requirements.