Medicaid
Commentary
GOP must hold its ground on enhanced subsidies — now more than ever
There are many things to like about the deal that ended the government shutdown last week. Most importantly, it reopens the government without committing taxpayers to tens of billions of dollars in new spending on COVID-era enhanced premium subsidies for coverage sold through Obamacare’s exchanges. But the battle over these ...
Sally C. Pipes
November 17, 2025
Commentary
States Break Law with Medicaid Coverage for Illegal Immigrants
A new federal audit reveals that five states have spent a total of more than $1 billion providing Medicaid benefits to illegal immigrants. According to Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services (CMS), “If you live in Texas or Florida, and you’re paying U.S. federal ...
Sally C. Pipes
November 14, 2025
Commentary
No, the expiring subsidies aren’t to blame for next year’s premium hikes
Open enrollment on Obamacare‘s exchanges is upon us. People shopping for coverage will be greeted by higher premiums. According to one recent analysis from the Peterson-KFF Health System Tracker, premiums for 2026 coverage will rise by 18 %. Out-of-pocket costs could go up hundreds or thousands of dollars, according to ...
Sally C. Pipes
November 3, 2025
Commentary
Enhanced Obamacare subsidies are the problem
Democrats are refusing to reopen the federal government unless Congress extends the enhanced Obamacare premium subsidies scheduled to expire at the end of this year. Their ultimate goal is to make those subsidies permanent. The shutdown’s architects say that failing to renew these tax credits will threaten the finances of ...
Sally C. Pipes
October 24, 2025
Commentary
Yes, Democrats are defending Medicaid for illegal immigrants
“Not a single federal dollar goes to providing health insurance for undocumented immigrants. NOT. ONE. PENNY.” These were the words of Senate Minority Leader Chuck Schumer (D-NY) in a recent X post, after Republicans accused Democrats of shutting down the government in order to keep funding Medicaid for illegal immigrants… ...
Sally C. Pipes
October 20, 2025
Commentary
If Health Insurance Premiums Rise Next Year, Blame Democrats
In the ongoing government shutdown saga, Democrats continue to cast themselves as defenders of affordable health insurance… Premiums have been on a steady upward trajectory for more than a decade. Obamacare’s own diktats are why premiums have risen. Read the op-ed here.
Sally C. Pipes
October 15, 2025
Commentary
Business Policy CMS Shouldn’t Expand Its Broken Competitive Bidding Model
Durable medical equipment (DME) such as CPAP machines and hospital beds helps keep many patients out of expensive nursing home care and in their own homes. Unfortunately, creating the right payment model has long eluded the Centers for Medicare and Medicaid Services (CMS). Disconcertingly, they now plan to expand a ...
Wayne H Winegarden
September 12, 2025
Commentary
Trump’s Medicaid reform is moral and necessary
Among the most contentious provisions in the One Big Beautiful Bill Act, which President Donald Trump signed into law on July 4, are its Medicaid work requirements. Starting in 2027, able-bodied, working-age Medicaid beneficiaries enrolled through Obamacare’s expansion of the program must spend at least 80 hours a month on ...
Sally C. Pipes
September 8, 2025
Commentary
The rural hospital rescue fund is a fraud
Rural hospitals are supposedly in dire financial straits. And the forthcoming Medicaid “cuts” authorized by the One Big Beautiful Bill Act could put hundreds more facilities deep in the red. At least, that’s the prevailing narrative inside the beltway — and the justification for the $50 billion rural hospital “rescue” ...
Sally C. Pipes
August 25, 2025
Commentary
Medicaid At 60: A Safety Net In Need Of Serious Repair
Today, Medicaid turns 60. But this will be no diamond jubilee. What began in 1965 as a modest safety-net program has ballooned into the largest health entitlement in the country, covering nearly 80 million Americans, costing close to $900 billion a year, and delivering poor value for both patients and ...
Sally C. Pipes
July 31, 2025
GOP must hold its ground on enhanced subsidies — now more than ever
There are many things to like about the deal that ended the government shutdown last week. Most importantly, it reopens the government without committing taxpayers to tens of billions of dollars in new spending on COVID-era enhanced premium subsidies for coverage sold through Obamacare’s exchanges. But the battle over these ...
States Break Law with Medicaid Coverage for Illegal Immigrants
A new federal audit reveals that five states have spent a total of more than $1 billion providing Medicaid benefits to illegal immigrants. According to Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services (CMS), “If you live in Texas or Florida, and you’re paying U.S. federal ...
No, the expiring subsidies aren’t to blame for next year’s premium hikes
Open enrollment on Obamacare‘s exchanges is upon us. People shopping for coverage will be greeted by higher premiums. According to one recent analysis from the Peterson-KFF Health System Tracker, premiums for 2026 coverage will rise by 18 %. Out-of-pocket costs could go up hundreds or thousands of dollars, according to ...
Enhanced Obamacare subsidies are the problem
Democrats are refusing to reopen the federal government unless Congress extends the enhanced Obamacare premium subsidies scheduled to expire at the end of this year. Their ultimate goal is to make those subsidies permanent. The shutdown’s architects say that failing to renew these tax credits will threaten the finances of ...
Yes, Democrats are defending Medicaid for illegal immigrants
“Not a single federal dollar goes to providing health insurance for undocumented immigrants. NOT. ONE. PENNY.” These were the words of Senate Minority Leader Chuck Schumer (D-NY) in a recent X post, after Republicans accused Democrats of shutting down the government in order to keep funding Medicaid for illegal immigrants… ...
If Health Insurance Premiums Rise Next Year, Blame Democrats
In the ongoing government shutdown saga, Democrats continue to cast themselves as defenders of affordable health insurance… Premiums have been on a steady upward trajectory for more than a decade. Obamacare’s own diktats are why premiums have risen. Read the op-ed here.
Business Policy CMS Shouldn’t Expand Its Broken Competitive Bidding Model
Durable medical equipment (DME) such as CPAP machines and hospital beds helps keep many patients out of expensive nursing home care and in their own homes. Unfortunately, creating the right payment model has long eluded the Centers for Medicare and Medicaid Services (CMS). Disconcertingly, they now plan to expand a ...
Trump’s Medicaid reform is moral and necessary
Among the most contentious provisions in the One Big Beautiful Bill Act, which President Donald Trump signed into law on July 4, are its Medicaid work requirements. Starting in 2027, able-bodied, working-age Medicaid beneficiaries enrolled through Obamacare’s expansion of the program must spend at least 80 hours a month on ...
The rural hospital rescue fund is a fraud
Rural hospitals are supposedly in dire financial straits. And the forthcoming Medicaid “cuts” authorized by the One Big Beautiful Bill Act could put hundreds more facilities deep in the red. At least, that’s the prevailing narrative inside the beltway — and the justification for the $50 billion rural hospital “rescue” ...
Medicaid At 60: A Safety Net In Need Of Serious Repair
Today, Medicaid turns 60. But this will be no diamond jubilee. What began in 1965 as a modest safety-net program has ballooned into the largest health entitlement in the country, covering nearly 80 million Americans, costing close to $900 billion a year, and delivering poor value for both patients and ...