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Sticker Shock: Obamacare Customers Confront Premium Spikes as Congress Dithers

麻豆女优 Health News Original

With subsidies that give consumers extra help paying their health insurance premiums set to expire, lawmakers are again debating the Affordable Care Act. The difference this time: It鈥檚 happening in the middle of ACA open enrollment.

Plan-Switching, Sign-Up Impersonations: Obamacare Enrollment Fraud Persists

麻豆女优 Health News Original

Investigators from the Government Accountability Office were able to register nearly 20 fake ACA enrollments in a probe of healthcare.gov. The federal government paid subsidies to insurers for some of the fake customers.

How Delays and Bankruptcy Let a Nursing Home Chain Avoid Paying Settlements for Injuries and Deaths

麻豆女优 Health News Original

Genesis HealthCare鈥檚 bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.

Tracking Applications聽for Rural Health Transformation聽Funds

麻豆女优 Health News Original

麻豆女优 Health News is working to collect and post complete application materials, by state, here and will update this repository as new materials, released in response to public records requests, arrive.

Republicans Left Tribes Out of Their $50B Rural Fund. Now It鈥檚 Up to States To Share.

麻豆女优 Health News Original

The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.

Feds Promised 鈥楻adical Transparency鈥 but Are Withholding Rural Health Fund Applications

麻豆女优 Health News Original

Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.

Gobierno prometi贸 鈥渢ransparencia radical鈥, pero oculta solicitudes de fondos para la salud rural

麻豆女优 Health News Original

Drones que entregan medicamentos y telesalud en bibliotecas locales son algunas de las ideas que l铆deres estatales acaban de presentar para gastar su parte de un programa federal de salud rural de $50.000 millones.

Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.

麻豆女优 Health News Original

Health systems drop out of Medicare Advantage plans all the time. Yet government documents obtained by 麻豆女优 Health News show that federal regulators rarely warn plans that their networks of health providers are so skimpy they violate legal requirements.

Concerns Over Fairness, Access Rise as States Compete for Slice of $50B Rural Health Fund

麻豆女优 Health News Original

Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.

Trump鈥檚 HHS Orders State Medicaid Programs To Help Find Undocumented Immigrants

麻豆女优 Health News Original

Federal health authorities have taken the “unprecedented” step of instructing states to investigate certain individuals on Medicaid to determine whether they are ineligible because of their immigration status, with five states reporting they鈥檝e received more than 170,000 names collectively.

A Ticking Clock: How States Are Preparing for a Last-Minute Obamacare Deal

麻豆女优 Health News Original

Even if Congress strikes a deal soon to extend more generous Affordable Care Act subsidies, the prices and types of ACA plans available could change dramatically. Unprecedented uncertainty and upheaval could cloud this year鈥檚 open enrollment season, which begins in most states on Saturday.

Officials Show Little Proof That New Tech Will Help Medicaid Enrollees Meet Work Rules

麻豆女优 Health News Original

The Trump administration says it鈥檚 developing a digital tool to help people prove they鈥檙e meeting new Medicaid work requirements. 麻豆女优 Health News talked to officials from the two states running pilot programs and found little evidence of new 鈥 or effective 鈥 technology.

States Jostle Over $50B Rural Health Fund as Trump鈥檚 Medicaid Cuts Trigger Scramble

麻豆女优 Health News Original

States are battling for their piece of $50 billion in federal rural health funding, but it鈥檚 not just hospitals vying for the money. Tech startups and policy demands are raising the stakes as Medicaid cuts loom.

AI Will Soon Have a Say in Approving or Denying Medicare Treatments

麻豆女优 Health News Original

A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.

As the Trump Administration and States Push Health Data Sharing, Familiar Challenges Surface

麻豆女优 Health News Original

Despite billions of tax dollars and two decades of effort invested in improving health care data sharing, Americans鈥 medical records often remain siloed, leading to duplicate testing, increased costs, and wasted time for patients and doctors.

What the Health? From 麻豆女优 Health News: On Capitol Hill, RFK Defends Firings at CDC

Podcast

A combative Robert F. Kennedy Jr, the U.S. secretary of health and human services, appeared before a Senate committee Thursday, defending his firing of the newly confirmed director of the Centers for Disease Control and Prevention as well as other changes that could limit the availability of vaccines. Meanwhile, Congress has only a few weeks to complete work on annual spending bills to avoid a possible government shutdown and to ward off potentially large increases in premiums for Affordable Care Act health plans. Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of Pink Sheet, and Alice Miranda Ollstein of Politico join 麻豆女优 Health News鈥 Julie Rovner to discuss these stories and more. Also this week, Rovner interviews 麻豆女优 Health News鈥 Tony Leys, who discusses his 鈥淏ill of the Month鈥 report about a woman鈥檚 unfortunate interaction with a bat 鈥 and her even more unfortunate interaction with the bill for her rabies prevention treatment.

Trump Administration Investigates Medicaid Spending on Immigrants in Blue States

麻豆女优 Health News Original

The Centers for Medicare & Medicaid Services is hunting for Medicaid waste, fraud, and abuse in at least six Democratic-led states that expanded coverage to low-income and disabled immigrants without legal status, according to records obtained by 麻豆女优 Health News and The Associated Press.

Native Americans Want To Avoid Past Medicaid Enrollment Snafus as Work Requirements Loom

麻豆女优 Health News Original

As states prepare to implement changes to Medicaid required by President Donald Trump鈥檚 recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.