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Melanie MacEachern

Freelance writer with skills and knowledge in healthcare policy, reproductive justice and art history. Skilled administrative assistant. Graduated from University of Michigan.

Author's Posts

Arizona News

Governor Hobbs Signs End of Session Budget

The state government narrowly avoided shutdown this week as Governor Katie Hobbs compromised with the Arizona House and Senate on a $17.6 billion bipartisan budget bill. AHCCCS gets full funding and a mandate to offer extensions to all contracted...
Arizona News

Federal Judge Orders HHS to Halt Mass Firings

Mass firings and structural overhauls at the U.S. Department of Health and Human Services (HHS) were halted by a federal court this week in response to a lawsuit filed by 19 states, including Arizona, and the District of Columbia. The plaintiffs allege that HHS under Secretary Robert F. Kennedy, Jr.'s purview has violated the...
Senate Passes OBBB with Deeper Healthcare Cuts, House Deliberates on Final Bill Arizona News

Senate Passes OBBB with Deeper Healthcare Cuts, House Deliberates on Final Bill

On Monday, the U.S. Senate passed its own version of the One Big Beautiful Bill Act, President Donald Trump's signature legislation. The bill contains heavy cuts to the Medicaid program and other changes to U.S. healthcare infrastructure and government payment systems, but the bill must be reconciled in the House before it can go to the...
Arizona News

CMMI to Test New Prior Authorization for Traditional Medicare in Arizona

This week, the Centers for Medicare and Medicaid Services (CMS) Innovation Center (CMMI) announced a new model that will employ AI and machine learning to test ways to integrate prior authorization into traditional fee-for-service Medicare. The model will launch with providers in Arizona, Washington, New Jersey and Texas. The model,...
CMS Rules

CMS Proposes 6.4% Cut to Home Health Services

On Monday, the Centers for Medicare and Medicaid Services (CMS) published the proposed home health prospective payment system rule for 2026, which would substantially cut Medicare payments to home health agencies. The prospective payment system update calls for a 6.4% cut to home health payments in 2026, or roughly $1.135 billion....
News

Rural Hospitals at Risk of 20% Cuts in Big Beautiful Bill

The National Rural Health Association partnered with Manatt Health to review the effects that the Medicaid cuts proposed in the reconciliation One Big Beautiful Bill Act (BBB) would have on health care delivery in rural areas. It found that the reduction in Medicaid reimbursement could result in hospital closures. The report...
Medicaid Cuts and Work Requirements: Potential Impacts According to New CBO Analysis National News

Medicaid Cuts and Work Requirements: Potential Impacts According to New CBO Analysis

More details have emerged on the potential impacts that Medicaid cuts contained in the "One Big Beautiful Bill" (OBBB) could have on Americans and state economies. The House passed budget reconciliation bill contains significant changes to Medicaid eligibility, including provisions that would require proof of work or intent to work...
Arizona News

ACIP Panel Meets, Jeopardizes Vaccine Coverage, Market

Earlier this month, Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. (RFK) fired every panel member on the Centers for Disease Control and Prevention's (CDC) Advisory Committee on Immunization Practices (ACIP), and replaced them with eight vaccine skeptics. The decision to remove members of the independent vaccine...
CMS Temporarily Finalizes Changes to ACA in Harmony With BBB - Slashing SEPs & Prioritizing Income Verification CMS Rules

CMS Temporarily Finalizes Changes to ACA in Harmony With BBB - Slashing SEPs & Prioritizing Income Verification

The Centers for Medicare and Medicaid Services (CMS) has temporarily finalized several pieces of a health exchange program integrity rule through 2026, including changes to the enrollment process and shortening the sign-up period; expected savings: $12B in 2026. The changes to the Affordable Care Act (ACA) health exchange reflect the...
National News

Insurers Agree to Improve Prior Authorization in HHS Brokered Deal

Nearly 50 health insurance companies signed onto a pledge with the federal government to streamline prior authorizations on Monday. The new practices will apply across all forms of private health insurance. For years, private insurance companies have weathered criticism of the prior authorization process as providers and patients...
Arizona News

SCOTUS Rules Ban on Gender Affirming Care for Minors Does Not Violate 14th Amendment

Last week, the U.S. Supreme Court (SCOTUS) issued a ruling in the case United States v. Skrmetti, a case to determine whether a Tennessee law banning gender affirming healthcare for minors violates the Equal Protection Clause of the Fourteenth Amendment. The leader of the Arizona Department of Education calls on local lawmakers to push...
National News

Trump Administration Stumbles All Over HHS

The Trump administration's Department of Health and Human Services (HHS) is hitting some snags in implementing its sweeping policy overhauls that could radically change the regulation and oversight of healthcare across all sectors. On Tuesday, a federal court in Massachusetts struck down the mass cancelation of grants by the National...
Arizona House Introduces Budget Bill That Increases Hospital Taxes and Decreases Funding for AHCCCS Arizona News

Arizona House Introduces Budget Bill That Increases Hospital Taxes and Decreases Funding for AHCCCS

The Arizona State Legislature is running out of time to pass a budget before a government shutdown is triggered on July 1. But, while Senate Republicans negotiated a budget with Democratic Governor Katie Hobbs, the Arizona House introduced its own. The House budget made cuts to healthcare, a $225 million Medicaid cut and increasing the...
White Papers, E books, Reports and more

REPORT: 2025 Milliman Medical Index

Published late last month, the 2024 Milliman Medical Index, which estimates annual healthcare costs for people covered by employer sponsored plans, showed that the cost of covering a family of four through workplace insurance has tripled in 20 years. The average cost of workplace insurance is $35,119 for a family of four or $7,871 for...
Purdue Pharma Reaches Settlement with 55 AGs - Arizona to Receive as Much as $108M Arizona News

Purdue Pharma Reaches Settlement with 55 AGs - Arizona to Receive as Much as $108M

Purdue Pharma and its owners, the Sackler family, has reached a $7.4 billion settlement for its role in the opioid crisis. All 50 states, the District of Columbia and four U.S. territories signed onto a settlement with Purdue Pharma, manufacturer of the opioid drug Oxycontin. NPR reports that the Sackler family is expected to...
White Papers, E books, Reports and more

MedPAC and MACPAC Publish June Reports to Congress

Last week, the Medicare Payment Advisory Committee (MedPAC) published its June report to Congress. The annual June report, which makes recommendations to Congress outlining recommendations for Medicare payment systems, included several areas of interest. These included supplemental benefits and home health care use in Medicare...
Arizona News

Senate Finance Committee Proposes Changes to Trump Agenda Bill, Deeper Cuts to Medicaid, Physician Pay

On Monday, Republicans in the U.S. Senate released their own version of legislation for President Donald Trump's agenda. The bill would cut Medicaid even more aggressively than the bill passed by the House of Representatives but eases up on subjects that are not health related. The new proposal released by the Senate Finance Committee...
National News

The Republican 2025 Reconciliation Bill = Climbing Uninsured Rates & Rising Marketplace Premiums

Analysis and reactions to the Trump administration's agenda legislation is rolling in as the Senate begins to consider and edit the House-passed bill. KFF projects Arizona will experience a 3 to 4% increase in the uninsured population if the bill is passed, based on national estimates by the Congressional Budget Office. This increases...
White Papers, E books, Reports and more

OIG Recommends CMS Use PBJ to Enforce Staffing Noncompliance

Amid a surge in new hires at nursing homes, a new report from the Department of Health and Human Services (HHS) Office of Inspector General (OIG) recommends that the Centers for Medicare and Medicaid Services (CMS) strengthen its oversight of nursing home staffing. Nursing homes increased employment by 6,000 jobs in May according to...

National Institutes of Health Policy Overhaul Experiences Blowback

Following the ambitious overhaul of the National Institutes of Health (NIH), underway since the start of the Trump administration, backlash to new policies and fallout from funding and staffing cuts are coming to light. Dozens of scientists and researchers for the National Institutes of Health issued a public rebuke of the Trump...
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Jan
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12:00 pm Region 10 HFMA Webinar: Lunch & ... @ Webinar
Region 10 HFMA Webinar: Lunch & ... @ Webinar
Jan 12 @ 12:00 pm – 1:00 pm
Region 10 HFMA Webinar: Lunch & Learn with Alan Pruhs, A Discussion on Health Equity @ Webinar
Region 10 HFMA Webinar: Lunch & Learn with Alan Pruhs, A Discussion on Health Equity January 12, 2026 12:00 PM-1:00 PMMT In a nearly 20-year career as executive director of the Association for Utah Community[...]
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1:00 pm REGION 10 HFMA WEBINAR Data Is ... @ Webinar
REGION 10 HFMA WEBINAR Data Is ... @ Webinar
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Data Is Destiny: Thoughts from the Future on how AI Technology & Data will affect Healthcare Presented virtually via Zoom January 14, 2026 1-2 PM Arizona Time (2-3 PM Central Time)   HIGHLIGHTS: What Makes[...]
Jan
18
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2026
all-day HFMA 27th Western Region Symposium @ Paris Las Vegas Casino
HFMA 27th Western Region Symposium @ Paris Las Vegas Casino
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HFMA 27th Western Region Symposium @ Paris Las Vegas Casino
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Jan 21, 2026 12:00 PM in Arizona REGISTER Description:  Practice managers often handle situations involving rude, disruptive, and even abusive patients. Establishing a Patient Code of Conduct to set expectations for acceptable behavior promotes mutual respect,[...]
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12:00 pm AZ/NM MGMA Webinar: How to Negot... @ Zoom
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Feb 4, 2026 12:00 PM in Arizona REGISTER Description Webinar attendees will review and discuss: – Effective strategies for negotiating payer contracts and avoiding common setbacks. – Tactics payers use during negotiations. – Ways to leverage your[...]
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