
Policy Update – October 20, 2025
This week: how federal dysfunction collides with Medicare Advantage’s first enrollment contraction in 20 years, raising fundamental questions about healthcare system stability and access for vulnerable populations.

This week: how federal dysfunction collides with Medicare Advantage’s first enrollment contraction in 20 years, raising fundamental questions about healthcare system stability and access for vulnerable populations.

This week: More shutdown fallout with Congress no closer to finding an end.

A perfect storm: federal shutdown furloughs 32,000+ HHS staff and halts FDA approvals, Medicare Advantage enrollment drops amid premium cuts, Trump’s drug pricing deals draw widespread skepticism, and millions face insurance cost spikes as Congress battles over ACA subsidies.

This week: government shutdown… will they? won’t they?

RFK Jr.’s sweeping vaccine policy changes triggered unprecedented disruption across federal health agencies this week, with ACIP eliminating universal COVID recommendations and former CDC Director Monarez testifying about political pressure to modify childhood immunization schedules without scientific evidence.

This week, CMS unveiled sweeping Medicaid payment caps while advancing its controversial AI-powered prior authorization model, sparking fierce debate over whether technology and standardization will streamline federal healthcare programs or erect new barriers for America’s most vulnerable patients.
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Savage Health Policy
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