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You are here: Home / Archives for Michelle Sayles

June 12, 2026

June 12, 2026 by Michelle Sayles

Work Requirements Unveiled The Centers for Medicare and Medicaid Services (CMS) have announced their interim final rule on Medicaid work requirements and community engagement. This rule outlines how the HR1 work requirements will be implemented. This will impact people living in the 43 states participating in ACA Medicaid Expansion and partial expansion waiver programs. About […] Read More »

Filed Under: Newsletter

May 29, 2026

May 29, 2026 by Michelle Sayles

Health vs. Work Requirements The cost of Marketplace insurance plans appears likely to increase again in 2027, based on reporting from Kaiser Family Foundation. They outline the impact that ACA insurance consumers are bearing to maintain coverage with the loss of enhanced premium tax credits (ePTC). From data collected in January 2026, over 21% of […] Read More »

Filed Under: Newsletter

May 15, 2026

May 15, 2026 by Michelle Sayles

Cost of Healthcare Delays The cost of healthcare continues to be one of the most critical issues for Americans, even among MAHA voters, as profiled in Drew Altman’s recent column. To date, proposals for healthcare affordability, including the extension of enhanced premium tax credits for ACA enrollees, remain without a path forward. With the annual […] Read More »

Filed Under: Newsletter

May 8, 2026

May 8, 2026 by Michelle Sayles

Toward Holistic Health Services under Medicaid As an optional benefit under Medicaid, Home and Community-Based Services are at risk of deep cuts as federal Medicaid funding is reduced. Just last week, federal legislative proposals were reintroduced to ensure comprehensive HCBS coverage under Medicaid, along with the adequate workforce funding needed to sustain it. The HCBS […] Read More »

Filed Under: Newsletter

May 1, 2026

May 6, 2026 by Michelle Sayles

Examining Upcoming Changes in Healthcare Coverage In prior newsletters, we highlighted the comment period which was open for the 2027 Notice of Benefit and Payment Parameters (NBPP). The NBPP is the regulatory framework which CMS uses to operate the federally facilitated marketplace (healthcare.gov). AAHD did submit comments in conjunction with the Lakeshore Foundation raising concerns […] Read More »

Filed Under: Newsletter

April 24, 2026

April 24, 2026 by Michelle Sayles

Talking Points on Medicaid Work Requirements Medicaid enrollees are responsible for meeting work requirements starting no later than January 2027. Even though some disabled enrollees will be exempt, every enrollee will be impacted by these reporting requirements and responsible for completing paperwork to retain coverage. The American Association of People with Disabilities (AAPD) has a […] Read More »

Filed Under: Newsletter

April 17, 2026

April 17, 2026 by Michelle Sayles

Beyond the Fraud Algorithm Last week, we covered the responses of disability advocates to the Centers for Medicare and Medicaid Services (CMS) call for information on waste, fraud, and abuse in healthcare programs like Medicaid. Despite these federal claims of waste, the data is just not there to justify cuts to essential services. Even now, […] Read More »

Filed Under: Newsletter

April 10, 2026

April 10, 2026 by Michelle Sayles

Healthcare Fraud Advocates Address Claims of Waste, Fraud & Abuse The Centers for Medicare & Medicaid Services (CMS) closed their Request for Information last week into claims of waste, fraud, and abuse into our federal public health programs. The RFI is part of a broader initiative called “Comprehensive Regulations to Uncover Suspicious Healthcare” (CRUSH), which […] Read More »

Filed Under: Newsletter

March 27, 2026

March 27, 2026 by Michelle Sayles

Surveys Show Concerns Consumers Have with Healthcare in 2026 Solutions to our health care crisis continue to be divided. Kaiser Family Foundation (KFF) details that views on the Affordable Care Act continue to be divided across party lines, though support for certain ACA provisions is more universal. Regardless of party affiliation, most people support the […] Read More »

Filed Under: Newsletter

March 20, 2026

March 20, 2026 by Michelle Sayles

Home Care is Health Care Home care is an essential support for community living for over 5 million people across the United States. Medicaid is the primary payer for home care. With these services, disabled and aging individuals can get supportive services to assist with daily self-care. This is an important alternative for people who […] Read More »

Filed Under: Newsletter

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