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HHS announces access to real-time drug pricing, changes to prior authorization

The Department of Health and Human Services today announced prescription drug reforms

AHA blog responds to Paragon reports on Health Insurance Marketplace fraud

The AHA Aug. 28 published a blog responding to a series of reports from the Paragon Health Institute alleging large-scale “fraud” in health care, this time focusing on enrollment in the Health Insurance Marketplace.
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Setting the Record Straight: Separating Fact from Fiction on Health Insurance Marketplace Fraud

It is imperative that policymakers understand that Paragon developed their allegations of large-scale “fraud” in health care using inaccurate data, dubious assumptions, and an apparent lack of understanding of how health insurance actually works.

CMS launches oversight of Medicaid, CHIP enrollees to ensure immigration status

The Centers for Medicare & Medicaid Services today announced a n

Analysis projects increases in state uninsured rates following passage of budget reconciliation bill

A KFF analysis published Aug. 20 provides a state-by-state allocation of Congressional Budget Office estimates that 10 million people could be uninsured by 2034 following the passage of the budget reconciliation bill.
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Chair File: Leadership Dialogue — Continuing the Work to Strengthen Health in America With AHA President and CEO Rick Pollack

AHA President and CEO Rick Pollack joined me for a Leadership Dialogue conversation to help us understand the key provisions that apply to health care.

HHS, CMS to form committee providing federal health program recommendations

The Department of Health and Human Services and the Centers for Medicare & Medicaid Services Aug. 21 announced the creation of a Healthcare Advisory Committee for the Secretary of HHS and Administrator of CMS.

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.

CMS releases 2025-2026 Medicaid Managed Care Rate Development Guide

The Centers for Medicare & Medicaid Services has issued the 2025-2026 Medicaid M

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.