By Verlon Johnson – Medicaid is more than statutes and systems. It is a living promise to children, families, older adults, and people with disabilities – people whose health and stability depend on whether we translate our best ideas into daily practice. I have sat with caseworkers stretched thin and with program leaders balancing spreadsheets against human stakes.
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By Chris Emper – Although not focused on healthcare, the bill does include 115-pages of healthcare provisions, most of which are focused on reducing future Medicaid spending as a mechanism to reduce the overall budgetary impact of the bill.
By Trish Rivard – On July 4, 2025, President Trump signed the ‘Big Beautiful Bill Act’ into law. Under the law’s new Medicaid and Affordable Care Act marketplace policies, federal funding will decrease by $1 trillion while the uninsured population will increase by 11.8 million over the next decade.
By Todd Doze – Passed into law this July, the bill brings with it $930 billion in Medicaid cuts that are expected to cause nearly 12 million Americans to lose health insurance coverage, tightened Medicaid eligibility rules, and funding reallocations that will significantly alter how care is paid for and who gets covered.
By Kathryn Eshelman MD MPH – Unlike Medicare Advantage, risk adjustment in Medicaid is a zero-sum game. Medicaid is managed at the state level with fixed budgets, and the slice of the pie your health plan receives depends on the effectiveness of its risk adjustment program.
By Phil Galewitz & Stephanie Armour – Doctors, hospitals, and health insurers for weeks issued dire warnings to Republican lawmakers that millions of people would lose health coverage and hospitals would close if they cut Medicaid funding to help pay for President Donald Trump’s big tax and spending bill.
By Bernard J. Wolfson – Republican efforts to restrict taxes on hospitals, health plans, and other providers that states use to help fund their Medicaid programs could strip them of tens of billions of dollars. The move could shrink access to health care for some of the nation’s poorest and most vulnerable people, warn analysts, patient advocates, and Democratic political leaders.
By Jay Eisenstock – As Congress seeks to introduce changes to the Medicaid program, I’ve been reflecting on both its challenges and opportunities. Established in 1965, Medicaid was designed as a safety net for vulnerable populations living in poverty.
From KFF Health News Network – Their latest podcast, What the Health, Members of Congress are back in Washington, and Republicans are facing hard decisions on how to reduce Medicaid spending, even as new polling shows that would be unpopular among their voters.