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States Get in on the Prior Authorization Crackdown

麻豆女优 Health News Original

Last month, my colleague Lauren Sausser told you about the Biden administration鈥檚 crackdown on insurance plans鈥 prior authorization policies, with new rules for certain health plans participating in federal programs such as Medicare Advantage or the Affordable Care Act marketplace. States are getting in on the action, too. Prior authorization, sometimes called pre-certification, requires patients […]

States Target Health Insurers鈥 鈥楶rior Authorization鈥 Red Tape

麻豆女优 Health News Original

Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they鈥檒l pay for patients鈥 drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.

Federal Program to Save Rural Hospitals Feels 鈥楪rowing Pains鈥

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Fewer than two dozen rural hospitals were converted into Rural Emergency Hospitals in the program鈥檚 first year. Now, advocates and lawmakers say tweaks to the law are necessary to lure more takers and keep health care in rural communities.

Hoping to Clear the Air in Casinos, Workers Seek to Ban Tobacco Smoke

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Casinos in several states are fighting efforts to ban smoking, and trying to roll back existing anti-smoking laws. One planned facility even moved outside a city鈥檚 limits because of voter-approved smoking restrictions.

Rising Malpractice Premiums Price Small Clinics Out of Gender-Affirming Care for Minors

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Even in states where laws protect minors鈥 access to gender-affirming care, malpractice insurance premiums are keeping small and independent clinics from treating patients.

Child Care Gaps in Rural America Threaten to Undercut Small Communities

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Deep gaps in rural America鈥檚 child care system threaten communities鈥 stability by shrinking the workforce and inhibiting economic potential. Now that pandemic-era federal aid for child care programs and low-income families has ended, it鈥檚 up to state and local leaders to find solutions.

鈥楩inancial Ruin Is Baked Into the System鈥: Readers on the Costs of Long-Term Care

麻豆女优 Health News Original

Thousands of people shared their experiences and related to the financial drain on families portrayed in the 鈥淒ying Broke鈥 series, a joint project by 麻豆女优 Health News and The New York Times that examined the costs of long-term care.

Journalists Delve Into Gun Violence, Medicaid’s ‘Unwinding,’ Opioid Lawsuits, and More

麻豆女优 Health News Original

麻豆女优 Health News and California Healthline staffers made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.

El da帽o colateral de la crisis de Medicaid: miles est谩n perdiendo beneficios de alimentos

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Las familias de bajos ingresos que necesitan servicios como ayuda alimentaria y dinero en efectivo, se ven afectadas por la carrera burocr谩tica para determinar si decenas de millones de personas a煤n califican para Medicaid.

Anti-Abortion Groups Shrug Off Election Losses, Look to Courts, Statehouses for Path Forward

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Anti-abortion groups have lost seven consecutive elections on state ballot measures about abortion. They say they鈥檙e unfazed and plan to keep focusing on lawmakers and courts to notch wins.

Legisladores de Texas, Florida y otros estados socavan esfuerzos de vacunaci贸n contra covid

麻豆女优 Health News Original

El cambio en la informaci贸n sobre salud sigue la ret贸rica de pol铆ticos, principalmente republicanos, que han dado marcha atr谩s en sus posturas sobre las vacunas de covid.

Ohio vot贸 a favor del aborto. Podr铆an seguir otros 11 estados el pr贸ximo a帽o

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El impulso para llevar el pol茅mico tema a los votantes llega despu茅s de la serie de victorias en las votaciones del a帽o pasado a favor del derecho al aborto en seis estados: California, Kansas, Kentucky, Michigan, Montana y Vermont.

Ohio Voted on Abortion. Next Year, 11 More States Might, Too.

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Ohio is the latest state where voters have directly weighed in on abortion, and the next wave of such ballot measures is in the works in at least 11 other states, including Missouri.

“Peor de lo que la gente cree”, cambios en Medicaid crean caos en los estados

麻豆女优 Health News Original

Tanto beneficiarios como defensores de pacientes dicen que los funcionarios de Medicaid enviaron formularios de renovaci贸n obligatoria a direcciones viejas, calcularon mal los niveles de ingresos e hicieron malas traducciones de los documentos.

Who Polices Hospitals Merging Across Markets? States Give Different Answers

麻豆女优 Health News Original

Increasingly, hospitals are merging across separate markets within states. It鈥檚 a move that health economists and the Federal Trade Commission have been closely watching, as evidence shows such mergers raise prices for patients with no improvement in care.

Abortion Bans Fuel a Rise in High-Risk Patients Heading to Illinois Hospitals

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High-risk patients from states that heavily restrict abortion are coming to hospitals in states such as Illinois that protect abortion rights. The journey can mean more medical risks and higher bills.