CMS was set to announce on May 1 it would deny a Medicaid waiver request from Kansas to impose a three-year lifetime limit on benefits in the program, but internal disagreements scuttled the announcement at the last minute, according to The Hill.

In the latest article in Vox’s series on hospital billing practices, Jessica Pell told a story that isn’t a one-off case: She went to an emergency room (ER), received a minimal amount of help and still got saddled with a massive bill.

Years of gains in insurance coverage since the Affordable Care Act (ACA) are beginning to reverse, according to a new report from the Commonwealth Fund which found 15.5 percent of working age adults are uninsured, an increase of about four million people since 2016.

Managed care and Affordable Care Act (ACA) exchange insurer Molina Healthcare said its first quarter profits “exceed expectations” after raising premiums for its marketplace plans by about 60 percent and isn’t ruling out returning to markets in Utah and Wisconsin, where it previously offered coverage.

Maine became the first state to approve Medicaid expansion at the ballot box. Despite 59 percent of voters approved of expansion, Gov. Paul LePage has taken several steps which have stalled its implementation.

Envision had sued the insurer in March, alleging UnitedHealthcare “unilaterally” negotiated payment rates and failed to add Envision physicians to its network after the acquisition of AmSurg in 2016. UnitedHealthcare argued Envision’s emergency room billing practices were “egregious,” but also said the lawsuit itself was a violation of the arbitration provision in their contract.

CMS published several of its annual proposed Medicare payment rules on Friday afternoon, covering a slew of facilities like nursing homes, hospices, inpatient rehabilitation and psychiatric hospitals. As predicted, the proposed rule also included regulatory changes in line with CMS initiatives on reducing administrative burden and granting patients easier access to their own data.

In states that choose to utilize federal grants for the pilot program, those who don’t want coverage would have to actively opt out of plans within 60 days.