Healthcare policy news covering health insurance, Medicare, Medicaid, hospital regulations, and healthcare reform legislation.
Oregon filed a lawsuit challenging the Trump administration's new Medicaid work requirements, targeting CMS Administrator Mehmet Oz and HHS Secretary Robert F. Kennedy Jr. The state argues bureaucratic hurdles could force over half a million residents off coverage when the rules take effect January 1, 2027.
The Trump administration has revoked contracts with IPRO and Network Medical Review Company, citing failure to meet performance standards. This action follows a STAT investigation revealing arbitrators profited significantly while frequently ruling in favor of clinicians under the No Surprises Act. Fourteen other arbitration groups remain certified by the government to handle these disputes.
This piece argues that Medicare Part D beneficiaries face significant cost increases for 2027, with premiums potentially rising by 50% and out-of-pocket caps increasing. It contends that averages mask severe impacts for some enrollees, urging preparation before the December 7 open enrollment deadline as plans shift toward coinsurance models.
A new report by Fertility Action reveals only three NHS areas in England offer full NICE-recommended IVF treatment, prompting lobbying outside parliament led by Katie Rollings. The campaign highlights significant regional inequalities, noting that less than 27% of UK procedures are publicly funded and some regions have drastically cut services.
Senator Bernie Sanders argued during an MSNBC interview that Democrats should proceed with healthcare legislation regardless of President Trump's likely veto. Citing polling showing over 60% public support, Sanders suggested Trump might sign if pressure becomes overwhelming, though host Chris Hayes expressed skepticism about passage under the current administration.
The Canadian Medical Association argues that while the federal budget's health initiatives are positive steps, Canada still lacks a sustainable long-term plan for healthcare funding. Dr. Bolu Ogunyemi contends that financial certainty is urgently needed to improve patient access, outcomes, and doctor working conditions despite welcomed changes like the refundable caregiver credit.
The federal government is investigating the circumstances surrounding the death of Miranda Mamakwa, who missed critical medical follow-ups. Indigenous Services Canada admitted to service gaps in its health benefits program and implemented new travel coordination measures following family allegations.
Senator Bernie Sanders is expected to play a significant role in renewing the Prescription Drug User Fee Act (PDUFA), which expires September 30. Empowered by Democratic midterm victories, Sanders may leverage his position to push for pharmaceutical cost-control measures like drug reimportation.
The Society of Obstetricians and Gynaecologists of Canada argues that Budget 2026 fails to adequately address women's health gaps. While welcoming some funding, the organization contends that investments are insufficient to resolve systemic issues like long wait times, fertility care access, and maternity staffing shortages.
The New York Post argues that CVS Health's planned separation of its retail pharmacy and insurance businesses may lower drug costs for US consumers. Experts suggest the split could reduce Caremark's profit incentives, though actual savings depend on regulatory enforcement of the separation.