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Congestive heart failure within the last year can automatically qualify a Medicaid beneficiary as medically frail enough to be exempted from meeting work requirements but some other conditions will ...

The Trump administration may press pause on new agents and brokers in healthcare.gov ahead of the plan year 2027 according to a notice titled “Private Health Insurance; New Agent/Broker Registrations ...

A coalition of 67 consumer, labor, patient and employer groups is urging Congress to overhaul the No Surprises Act’s arbitration process, warning that private equity-backed provider groups and other ...

In the lead-up to FDA’s public meeting Monday (Sept. 14) on development and potential future use of psychedelic treatments, senior FDA drug officials offered an optimistic view of the therapies in a ...

Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.

HIV patient advocates will continue to lobby for more states to go the extra mile to protect patient access to pre-exposure prophylaxis (PrEP) medications that prevent the contraction and spread of ...

A top FDA official met with Amazon representatives on Aug. 28 to discuss the company's new LLM benchmark for evaluating patient-facing health AI agents, coming as the agency floats a plan to regulate ...

When lawmakers return to Washington next week, the House Energy & Commerce health subcommittee will hold a legislative hearing on several health care bills, the most notable of which is a package from ...

The White House said Thursday it will dip into exchange user fee funding to send $500 to about a million unsubsidized healthcare.gov enrollees, a $500 million move the president said would compensate ...

If they're not awarded a competitive bidding contract, nearly half of durable medical equipment suppliers impacted by the upcoming round of competitive bidding would face at least one significant ...

Two Republican attorneys general are separately suing pharmacy benefit manager Express Scripts, claiming the company is illegally interfering with reimbursement rates of local pharmacies by entering a ...