Nursing Homes and the AMA, Once Medicaid Defenders, Hang Back as GOP Mulls Big Cuts
The American Medical Association and the leading nursing home trade group both are lobbying Republicans in Congress on other priorities.
Insurance
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Thought Inflation Was Bad? Health Insurance Premiums Are Rising Even Faster
California businesses saw employees鈥 monthly family insurance premiums rise nearly $1,000 over a 15-year period, more than double the pace of inflation. And employees鈥 share grew as companies shifted more of the cost to workers.
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Trump Health Care Proposal Billed as Consumer Protection but Adds Enrollment Hoops
The proposal also would reverse a Biden administration policy that allowed 鈥淒reamers鈥 鈥 immigrants in the country illegally who were brought here as children 鈥 from qualifying for subsidized ACA coverage.
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She Co-Founded the Office That Became DOGE. Now, She Sees 鈥業rresponsible Transformation.鈥
As a deputy chief technology officer in the Obama administration, Jennifer Pahlka brought Silicon Valley talent to Washington to streamline public access to government services. She believes better government technology could both ensure taxpayer dollars aren鈥檛 wasted and that people who need health care and food assistance receive it.
By Sarah Kwon -
Medicaid Advocates Say Critics Use Loaded Terms To Gain Edge in Congressional Debate
As policymakers in Washington debate potentially steep funding cuts to Medicaid, Republicans are using terms such as 鈥渕oney laundering鈥 and 鈥渄iscrimination鈥 to make their case. Language experts and Medicaid advocates say their word choice is misleading and designed to sway the public against the popular program.
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To Patients, Parents, and Caregivers, Proposed Medicaid Cuts Are a Personal Affront
At a town hall in Orange County, California, angry residents said Congress should keep its hands off Medicaid. The cuts contemplated in a House budget blueprint would bore a giant hole in California鈥檚 version of the safety net health insurance program, Medi-Cal, which covers nearly 15 million residents.
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Years Later, Centene Settlements With States Still Unfinished
At least 20 states have settled disputes with health insurance giant Centene since 2021 over allegations that its pharmacy benefit manager operation overcharged their Medicaid programs. Two holdouts appear to remain: Georgia has not yet settled, and Florida officials won鈥檛 answer questions about its Centene situation.
By Andy Miller -
UnitedHealth Wins Ruling Over $2B in Alleged Medicare Advantage Overpayments
A special master found the Justice Department failed to prove wrongdoing by the giant health insurer.
By Fred Schulte -
Home Improvements Can Help People Age Independently. But Medicare Seldom Picks Up the Bill.
A small program celebrated by its proponents helps people modify their homes and safely live independently as they age. But most insurers won鈥檛 pay for it, including Medicare.
By Joanne Kenen -
Future of Cancer Coverage for Women Federal Firefighters Uncertain Under Trump
In the waning days of the Biden administration, the Labor Department added ovarian, uterine, cervical, and breast cancer coverage for wildland firefighters. It鈥檚 unclear whether the new protections will stick under Trump.
By Kylie Mohr -
A Runner Was Hit by a Car, Then by a Surprise Ambulance Bill
A San Francisco man had friends drive him to the hospital after he was hit by a car. Doctors checked him out, then sent him by ambulance to a trauma center 鈥 which released him with no further treatment. The ambulance bill? Almost $13,000.
By Sandy West -
Montana鈥檚 Medicaid Expansion Conundrum
State lawmakers appear ready to preserve the state鈥檚 Medicaid expansion program without knowing what federal changes might be in store.
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Watch: What Is Medicaid, Again?
麻豆女优 Health News correspondent Sam Whitehead discusses Medicaid's history and role in the U.S. health system.
By Sam Whitehead and Hannah Norman -
Journalists Discuss Health Care for Incarcerated Children and the Possibility of a Bird Flu Pandemic
麻豆女优 Health News journalists made the rounds on national and local media recently to discuss topical stories. Here鈥檚 a collection of their appearances.
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Can Medicaid鈥檚 Popularity Shield It From the Budget Ax?聽
Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.
Medicaid in the Crosshairs, Maybe
Episode 385President Donald Trump has said he won鈥檛 support major cuts to the Medicaid health insurance program for people with low incomes, but he has endorsed a House budget plan that calls for major cuts, leaving the program鈥檚 future in doubt. Meanwhile, thousands of workers at the Department of Health and Human Services were fired over the holiday weekend, from the National Institutes of Health, the FDA, and the Centers for Disease Control and Prevention, with possibly more cuts to come.
Alice Miranda Ollstein of Politico, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Sarah Karlin-Smith of the Pink Sheet join 麻豆女优 Health News鈥 Julie Rovner to discuss these stories and more.
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Republicans Are Eyeing Cuts to Medicaid. What鈥檚 Medicaid, Again?
Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.
By Renuka Rayasam and Sam Whitehead -
Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong
A state lawmaker wants health insurers to disclose denial rates and explain those denials as anger grows over rising costs and uncovered medical care. If the bill is signed into law, health experts say, it could be one of the boldest attempts in the nation to rein in denials.
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Iowa Medicaid Sends $4M Bills to Two Families Grieving Deaths of Loved Ones With Disabilities
States are required to claw back health care costs from the estates of many Medicaid recipients. Some, including Iowa, are particularly aggressive in their pursuit.
By Tony Leys -
Pain Clinics Made Millions From 鈥楿nnecessary鈥 Injections Into 鈥楬uman Pin Cushions鈥
Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud scheme.
By Brett Kelman