May 7, 2026

Nebraska became the first state to implement Medicaid work requirements ahead of the federal deadline, requiring expansion enrollees to complete 80 hours per month of work, school, or volunteering to maintain coverage. State leaders say the policy encourages workforce participation and personal responsibility, though it may result in 20,000-40,000 people losing coverage, including some who may struggle with compliance reporting.

Lawmakers are scrutinizing the CPT coding system, asking whether its complexity leads to billing errors like upcoding and unbundling. They also raised concerns about the federal government’s reliance on a proprietary system managed by the American Medical Association and the fees associated with it. The inquiries could lead to reforms aimed at improving transparency, reducing costs, and addressing potential inefficiencies in healthcare billing.

Through the Medicare GLP-1 Bridge, CMS is expanding Medicare beneficiary access to GLP1-s in an effort to support positive long-term health outcomes and treatments.

In a recently published study, it was found that 42% of contracts received at least one enforcement action. Financial penalties account for most of the regulatory measures, impacting about 87% of the actions.

Oscar posted a very strong first quarter, with profit and membership both rising sharply, suggesting its ACA-focused growth strategy is still working at scale.