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Medicaid

has transformed health care for low-income families and individuals, especially children, pregnant mothers, parents and children with disabilities and special health care needs.

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  • Two Million Fewer Children are Enrolled in Medicaid Since Trump Took Office

    Child uninsured rate likely on the rise Our state-by-state Medicaid/CHIP enrollment tracker now indicates that 2 million fewer children were enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) as of April 2026, as compared to January 2025 when President Trump took office. That steep drop in the number of children enrolled in Medicaid…

  • CMS Triples Harmful Impact of HR 1 Medicaid Provider Cuts in State Directed Payment Proposed Rule

    Massive Overreach will Undermine Access to Health Care for People Covered by Medicaid Last week, on May 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released a proposed regulation on state-directed payments (SDP). SDPs are a mechanism for states to improve managed care payments to providers (some previous background is here). Using SDPs,…

  • Medicaid Managed Care: The Big Five in Q1 2026

    The “Big Five” have reported their financial and enrollment results for the first calendar quarter of 2026. The “Big Five” are the five largest publicly-traded insurers, measured by enrollment, in the Medicaid managed care market. Four of them—United Health Group, Elevance, CVSHealth/Aetna, and Centene, in that order—were also the four largest commercial health insurers by…

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  • CMS Weaponizes Fraud Against Medicaid in California

    For the second time in the 60-year history of the Medicaid program, a CMS deferral of federal matching funds has been announced by the Vice President of the United States at a White House press conference.  The first time was on February 25, when Vice President J.D. Vance told the press that CMS was delaying…

  • CMS Weaponizes Fraud Against Medicaid in Minnesota: Is the Fiscal Assault Headed for the Off-Ramp?

    The fiscal assault on Minnesota’s Medicaid program appears to be headed for the off-ramps. Led by Dr. Mehmet Oz, the CMS Administrator, with the full-throated support of Vice President J.D. Vance, CMS launched a two-pronged attack.  The first, launched on January 6, was a threat to withhold $515 million in federal Medicaid matching funds per…