# Medicaid Cuts * **Definition:** Reductions in funding or benefits provided under the Medicaid program, which may involve decreased reimbursement rates to healthcare providers, limitations on covered services, or eligibility restrictions, aimed at lowering government spending on healthcare. * **Taxonomy:** Healthcare Topics / Medicaid Cuts ## News * Selected news on the topic of **Medicaid Cuts**, for healthcare technology leaders * 10.4K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 5/23/2025 | [**GOP Mega-Bill Passes House: Medicaid Cuts Loom Large for Providers and Patients**](https://www.healthleadersmedia.com/cfo/gop-mega-bill-passes-house-medicaid-cuts-loom-large-providers-and-patients) | [[HealthLeaders Media]] | | 5/20/2025 | [**Catholic hospital leaders say Medicaid cuts 'will impact everyone'**](https://www.chiefhealthcareexecutive.com/view/catholic-hospital-leaders-say-medicaid-cuts-will-impact-everyone-) | [[Chief Healthcare Executive]] | | 5/19/2025 | [**Trump Tax Bill Advances After GOP Deal for Faster Medicaid Cuts - Bloomberg Law**](https://news.bloomberglaw.com/health-law-and-business/trump-tax-bill-advances-after-gop-deal-for-faster-medicaid-cuts) | [[Bloomberg Law]] | | 5/19/2025 | [**Legislation targeting Medicaid clears another House hurdle: 5 things to know**](https://www.beckershospitalreview.com/finance/legislation-targeting-medicaid-clears-another-house-hurdle/) | [[Beckers Hospital Review]] | | 5/19/2025 | [**Trump Budget Would Strip Medicaid from 1.2M Restaurant Workers**](https://hitconsultant.net/2025/05/19/trump-budget-would-strip-medicaid-from-1-2m-restaurant-workers/) | [[HIT Consultant]] | | 5/7/2025 | [**GOP drops some Medicaid cuts from budget plan: 5 things to know**](https://www.beckershospitalreview.com/finance/gop-drops-some-medicaid-cuts-from-budget-plan-6-things-to-know/) | [[Beckers Hospital Review]] | | 5/7/2025 | [**This CFO encourages leaders to 'think outside the box' to combat labor shortages**](https://www.beckershospitalreview.com/finance/this-cfo-encourages-leaders-to-think-outside-the-box-to-combat-labor-shortages/) | [[Beckers Hospital Review]] | | 4/28/2025 | [**The billion-dollar question every pharmacy executive will face in 2025**](https://www.beckershospitalreview.com/hospital-management-administration/the-billion-dollar-question-every-pharmacy-executive-will-face-in-2025/) | [[Beckers Hospital Review]] | | 4/17/2025 | [**Opinion - Medicaid cuts jeopardize the right to age at home**](https://www.aol.com/news/opinion-medicaid-cuts-jeopardize-age-173000661.html) | [[AOL]] | | 4/5/2025 | [**House, Senate quickly come to agreement on spending and tax plan - AOL.com**](https://www.aol.com/house-senate-quickly-come-agreement-034720636.html) | [[AOL]] | | 4/4/2025 | [**Public health cuts hit hospital finances**](https://www.beckershospitalreview.com/finance/public-health-cuts-hit-hospital-finances/) | [[Beckers Hospital Review]] | | 3/21/2025 | [**Medicaid cuts, Ming costs: Dental industry's top challenges in '25**](https://www.beckersdental.com/featured-perspectives/medicaid-cuts-ma-and-rising-costs-dental-industrys-top-challenges-in-25/) | [[Beckers Dental]] | | 3/12/2025 | [**Medicaid cuts would threaten billions in hospital revenue**](https://www.modernhealthcare.com/providers/medicaid-cuts-costs-urban-institute) | [[Modern Healthcare]] | | 3/7/2025 | [**Trump's Nephew Says Proposed Budget Cuts Lack 'Humanity And Decency' - Newsweek**](https://www.newsweek.com/fred-trump-medicaid-budget-cuts-lack-decency-2040982) | [[Newsweek]] | | 3/7/2025 | [**More than 70 million Americans are on Medicaid. This is where they live - The Seattle Times**](https://www.seattletimes.com/nation-world/more-than-70-million-americans-are-on-medicaid-this-is-where-they-live/) | [[Seattle Times]] | | 2/25/2025 | [**Some CT community health centers cutting dental care due to insufficient Medicaid reimbursement**](https://www.healthleadersmedia.com/revenue-cycle/some-ct-community-health-centers-cutting-dental-care-due-insufficient-medicaid) | [[HealthLeaders Media]] | | 2/25/2025 | [**House Adopts Republican Budget That Calls For Medicaid Cuts - AOL.com**](https://www.aol.com/house-adopts-republican-budget-calls-012313654.html) | [[AOL]] | | 1/16/2025 | [**Baker Tilly's Insights on Driving Change in Healthcare: Trends Reshaping the Industry**](https://www.morningstar.com/news/accesswire/969447msn/baker-tillys-insights-on-driving-change-in-healthcare-trends-reshaping-the-industry) | [[Morningstar]] | | 1/16/2025 | [**Baker Tilly's Insights on Driving Change in Healthcare: Trends Reshaping the Industry**](https://finance.yahoo.com/news/baker-tilly-insights-driving-change-143000525.html) | [[Yahoo Finance]] | | 1/10/2025 | [**RAAPID Raises Series A from M12, Microsoft's Venture Fund to Scale Next-Generation Healthcare Risk Adjustment**](https://www.prnewswire.com/news-releases/raapid-raises-series-a-from-m12-microsofts-venture-fund-to-scale-next-generation-healthcare-risk-adjustment-302348014.html) | [[PR Newswire]] | | 12/23/2024 | [**Hospitals in 2025: Predictions for the new year**](https://www.chiefhealthcareexecutive.com/view/hospitals-in-2025-predictions-for-the-new-year) | [[Chief Healthcare Executive]] | | 12/14/2024 | [**ICYMI: Highlights From COA 2024**](https://www.ajmc.com/view/icymi-highlights-from-coa-2024) | [[AJMC]] | | 9/12/2024 | [**Financial Viability: Diversifying Revenue and Improving Payer Negotiations**](https://www.beckershospitalreview.com/strategy/financial-viability-diversifying-revenue-and-improving-payer-negotiations.html) | [[Beckers Hospital Review]] | | 8/19/2024 | [**5 Hospital Stocks Poised to Benefit From Strong Industry Growth - Yahoo Finance**](https://finance.yahoo.com/news/5-hospital-stocks-poised-benefit-150200616.html) | [[Yahoo Finance]] | | 6/27/2024 | [**Healthcare Analytics Information, News and Tips - TechTarget**](https://www.techtarget.com/healthtechanalytics/) | techtarget.com | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **House Republicans**: Proposing significant cuts to Medicaid as part of a budget plan to finance tax cuts. - **David Lubarsky, MD**: Healthcare executive warning about the impacts of Medicaid cuts on access to care. - **Dr. Aaron E. Carroll**: President of AcademyHealth, warns about the catastrophic effects of proposed Medicaid cuts on vulnerable populations. - **Dr. Mehmet Oz**: CMS administrator overseeing Medicare and Medicaid programs amid proposed budget cuts. - **House Budget Committee**: A legislative body that has advanced the 'One Big Beautiful Bill Act,' proposing significant cuts to Medicaid. - **Senator Susan Collins**: Republican senator from Maine, expressing concern over Medicaid cuts affecting vulnerable populations. - **Debra Danforth**: Director of the Oneida Comprehensive Health Division, warning about the impact of Medicaid cuts on Native American health services. - **Fred Trump**: Expresses concerns about the impact of Medicaid cuts on families, advocating for a more humane approach. - **Dr. David LaBay**: A Brooklyn-based surgeon highlighting the risks of reduced Medicaid funding on healthcare costs and access. - **Senate Minority Leader Chuck Schumer**: A key figure expressing concerns about the potential negative impacts of Medicaid cuts on hospitals and healthcare access. - **CFOs of Health Systems**: Monitoring changes to Medicaid reimbursements and preparing for potential financial impacts. - **President Trump**: The U.S. President whose agenda aligns with the proposed Medicaid cuts, aiming to extend tax cuts and implement changes to healthcare provisions. - **Sister Mary Haddad**: President of the Catholic Health Association, advocating against Medicaid cuts due to their potential impact on vulnerable populations. - **Centers for Medicare and Medicaid Services (CMS)**: Federal agency responsible for overseeing Medicaid and Medicare programs. - **CMS (Centers for Medicare & Medicaid Services)**: The U.S. federal agency overseeing Medicaid programs and initiatives aimed at improving member engagement. - **MetroHealth**: An Ohio-based public healthcare system that has implemented automated solutions to reduce Medicaid service denials. - **Annie Andrews**: A pediatrician emphasizing the critical role of Medicaid in providing healthcare for children. - **Findhelp**: Partnered with Social Care Network partners to launch the New York Health Equity Reform initiative for Medicaid members. - **Equality Health**: Organization focused on value-based care, supporting underserved communities through Medicaid-first models. - **Rep. Julia Letlow**: Republican representative from Eastern Louisiana, where one-third of the population is enrolled in Medicaid. ### Partnerships and Collaborations - **Health Coalition**: Urging Republican lawmakers to reconsider proposed Medicaid funding cuts, warning of dire consequences for vulnerable populations. - **Catholic Health Association**: Represents over 600 hospitals advocating for the preservation of Medicaid funding amid proposed cuts. - **FTI Consulting, Inc.**: Conducted a survey revealing concerns among hospital executives regarding rising costs and the impact of Medicaid cuts. - **California Medical Association and California Hospital Association**: Collaborating to advocate against Medicaid cuts that would disproportionately affect their districts. - **MetroHealth and Cognizant**: Collaborated to implement an automated solution that reduced Medicaid service denials by 30%. - **Econometrica, Inc. and CMS**: Appointed as the prime contractor for a Technical Assistance Center to improve Medicaid School-Based Services. - **Unite Us and Missouri HealthNet**: Working together to address social determinants of health for Medicaid recipients. - **Anthem Blue Cross and Blue Shield**: Selected by Ohio Department of Medicaid for the Next Generation MyCare Ohio program. - **Pennsylvania's Community HealthChoices**: A program focusing on care coordination and aligning managed care organizations with dual special needs plans. - **Blooming Health and Hudson Valley Care Coalition**: Collaborating to improve engagement with Medicaid populations and integrate social care services with clinical care. - **Delaware's Diamond State Health Plan Plus**: A model for MLTSS that enhances care coordination through home and community-based services. - **Findhelp and Social Care Network**: Collaborating to integrate health and social care for over 1.5 million New York Medicaid members. - **Vesta Healthcare and Medical Guardian**: Partnering to enhance chronic care management and remote patient monitoring for Medicaid and Medicare members. - **University of Pennsylvania Health System and Independence Blue Cross**: Established a long-term agreement on reimbursement rates to enhance healthcare delivery. - **State of Franklin Healthcare Associates and Lumeris**: Working together to enhance healthcare delivery and outcomes in Northeast Tennessee and Southwest Virginia. - **Ontrak and Regional Health Plan**: An expansion of partnership to utilize Ontrak Quality solution for improving behavioral health metrics and patient outcomes. - **Kouper Inc.**: A health technology platform receiving investment from CVS Health Corp. to enhance patient transitions of care. - **10XBeta**: Leading a national initiative to create a mobile healthcare platform for underserved communities. - **PsychArmor and CareSource**: Partnering to achieve Military & Veteran Ready Organization Certification. - **ProsperityEHR**: An innovative electronic health record platform launched to enhance financial stability and patient care for behavioral health organizations. ### Innovations, Trends, and Initiatives - **Medicaid Disproportionate Share Hospital Payment Cuts**: Delays in cuts as part of a comprehensive government funding deal to maintain access to quality care. - **Value-Based Care**: A trend in healthcare where 42% of patient populations are participating in models associated with better care coordination, which may be threatened by Medicaid cuts. - **Medicaid Work Requirements**: Proposed requirements that could jeopardize coverage for millions, despite many recipients already being employed. - **Telehealth Innovations**: Highlighted as a potential solution to improve access to care amid proposed Medicaid cuts. - **Work Requirements**: Proposed changes in the Medicaid program that would require childless adults to meet work criteria to receive benefits. - **AI in Healthcare**: Emerging technologies like AI are being integrated into healthcare practices, although concerns exist regarding their adoption amidst Medicaid cuts. - **Healthcare Access and Stabilization Program (HAS)**: North Carolina initiative to provide upgraded Medicaid payments to hospitals, aiming to relieve over $4 billion in medical debt. - **New York Health Equity Reform**: Aiming to connect Medicaid members with essential services through a technology platform. - **Telehealth Flexibilities**: Extensions for Medicare telehealth services included in the healthcare package to enhance access. - **Access to Prescription Digital Therapeutics Act of 2023**: Legislation aimed at expanding Medicaid coverage for digital therapeutics. - **Access Rule**: A CMS initiative aimed at improving Medicaid beneficiaries' access to home- and community-based services, requiring new technologies and collaboration. - **Managed Long-Term Services and Supports (MLTSS)**: Programs aimed at enhancing coordinated care for vulnerable populations through alternative payment models. - **Home Health Care Importance**: Emphasized during hearings as critical for reducing hospital readmission rates and overall healthcare spending. - **Telehealth Coverage Parity**: Pennsylvania passed a law mandating coverage parity for telehealth services, improving access to care. - **AI and machine learning in home care**: Utilizing technology to improve efficiency and responsiveness in meeting the care needs of Medicaid and dual-eligible individuals. - **ACO REACH Model**: Lightbeam's initiative to enhance health equity and reduce costs for underserved populations through targeted value-based care. - **Public-Private Partnerships**: Efforts to develop new care delivery models to address healthcare access issues, especially in rural areas. - **Innovation in Behavioral Health (IBH) Model**: A new program aimed at improving care management for Medicare and Medicaid patients with mental health conditions. - **Hospital-at-home programs**: Providing high-quality care at home, particularly beneficial for immunocompromised individuals, and addressing health equity challenges. ### Challenges and Concerns - **Medicaid Cuts**: Concerns about potential cuts to Medicaid funding and their impact on access to care for vulnerable populations. - **Impact of Medicaid Cuts**: Proposed Medicaid cuts could lead to increased medical costs for families, reduced services in rural communities, and a rise in the uninsured population. - **Healthcare Access**: Critics warn that Medicaid cuts could lead to significant healthcare access issues for low-income families and vulnerable populations. - **Impact on Vulnerable Populations**: Critics warn that Medicaid cuts could increase uninsured rates and diminish access to healthcare services. - **Proposed Federal Medicaid Cuts**: Cuts aimed at achieving over $3 trillion in savings could disrupt the healthcare IT sector and lead to significant system reconfigurations. - **Potential Medicaid Cuts**: Concerns are rising about cuts to Medicaid and work restrictions under a potential Trump administration, impacting healthcare access for low-income individuals. - **Financial Stability of Hospitals**: Proposed Medicaid cuts could lead to a loss of $32 billion in hospital revenue by 2026, threatening financial stability. - **Financial Stress on Health Systems**: Potential Medicaid cuts could lead to increased financial stress for health systems, necessitating careful management of IT costs and data quality. - **California's Medi-Cal Program**: Potential large-scale cuts could drastically affect healthcare for over 14 million residents, leading to reductions in benefits and recent expansions. - **Access to Care**: Cuts could severely limit access to essential services for vulnerable populations, particularly in rural areas. - **Eligibility Reassessments**: States reassessing Medicaid eligibility post-COVID-19, leading to declines in enrollment and concerns about the impact on hospitals and the healthcare system. - **Impact on Telehealth and Digital Health**: Concerns that reduced financial incentives from Medicaid cuts could hinder expansion efforts, particularly in rural areas. - **Health Disparities**: Cuts could exacerbate existing health disparities, particularly among communities of color and those with chronic illnesses. - **Regulatory Pressures**: Changes in Medicaid managed care programs are complicating billing and claims processes for healthcare organizations. - **Financial Viability of Healthcare Providers**: Hospitals and nursing homes may struggle to maintain operations due to reduced Medicaid funding, affecting overall community health. - **Rural Healthcare Access**: Challenges in maintaining access to care for rural populations amid Medicaid funding uncertainties. ## Related Topics [[Reimbursement Cuts]]; [[Medicaid]]