Millones en riesgo de perder Medicaid, mientras terminan protecciones por la pandemia
Kaiser Health News | Insurance
by Phil Galewitz, Kaiser Health News
2d ago
Los estados se están preparando para remover a millones de personas de Medicaid, a medida que expiran las protecciones que se implementaron al comienzo de la pandemia de covid-19. Este cambio abrupto, que comienza en abril, pondrá a millones de estadounidenses en riesgo de perder la cobertura de salud, amenazando su acceso a la atención y potencialmente exponiéndolos a costosas facturas. También pondrá presión en las finanzas de hospitales, doctores y otros que dependen de los pagos de Medicaid, el programa federal de salud gerenciado por los estados que cubre a las personas de bajos ingresos ..read more
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As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff
Kaiser Health News | Insurance
by Phil Galewitz, Kaiser Health News
2d ago
States are preparing to remove millions of people from Medicaid as protections put in place early in the covid-19 pandemic expire. The upheaval, which begins in April, will put millions of low-income Americans at risk of losing health coverage, threatening their access to care and potentially exposing them to large medical bills. It will also put pressure on the finances of hospitals, doctors, and others relying on payments from Medicaid, a state-federal program that covers lower-income people and people with disabilities. Almost three years ago, as covid sent the economy into free fall, the f ..read more
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California Author Uses Dark Humor — And a Bear — To Highlight Flawed Health System
Kaiser Health News | Insurance
by Rachel Scheier
2d ago
Mother-to-be Kathleen Founds made a routine doctor’s appointment to discuss the risks of antidepressants in pregnancy. After the visit, Founds, who relies on medication to quell the manic highs and despondent lows of bipolar disorder, learned the physician was out of network. She received a surprise bill for $650, launching her into a maze of claim forms and hours on the phone being routed from one office to the next to dispute the charges — insurance red tape that so many Americans have encountered. A decade later, Founds captured her experience in a graphic novel, “Bipolar Bear and the Terri ..read more
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Did Your Health Plan Rip Off Medicare?
Kaiser Health News | Insurance
by Fred Schulte, Kaiser Health News
1w ago
Today, KHN has released details of 90 previously secret government audits that reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors. The audits, which cover billings from 2011 through 2013, are the most recent financial reviews available, even though enrollment in the health plans has exploded over the past decade to over 30 million and is expected to grow further. KHN has published the audit spreadsheets as the industry girds for a final regulation that could order health plans to return hundreds of millions, if not billions, of dollars or more in overchar ..read more
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California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions
Kaiser Health News | Insurance
by Bernard J. Wolfson and Samantha Young
1w ago
California’s decision last month to cancel the results of a long-planned bidding competition among commercial health plans in its Medicaid program has some industry insiders and consumer advocates wondering whether the state can stand up to insurers and force improvements in care for millions of low-income beneficiaries. In a backroom agreement announced in the final days of 2022, Gov. Gavin Newsom’s administration, facing lawsuits, granted concessions that allowed major insurers to claw back business they would have lost had health officials stuck with the state’s initial contract awards for ..read more
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Journalists Follow Up on Radon Mine Health Spas, Open Enrollment, and Health Fraud
Kaiser Health News | Insurance
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2w ago
KHN Montana correspondent Katheryn Houghton discussed Montana’s radon mine health spas on Montana Public Radio’s “The Big Why” podcast on Jan. 18. Click here to hear Houghton on “The Big Why” Read Houghton’s “Covid Renews Interest in Radiation, but Docs Caution Against Pilgrimages to Radon-Filled Mines“ KHN correspondent Julie Appleby discussed this year’s open enrollment period for Affordable Care Act health plans on NPR’s “Weekend Edition Sunday” on Jan. 15. Click here to hear Appleby on “Weekend Edition Sunday” KHN senior correspondent Sarah Jane Tribble discussed gaps in the government ..read more
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As US Bumps Against Debt Ceiling, Medicare Becomes a Bargaining Chip
Kaiser Health News | Insurance
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2w ago
The Host Julie Rovner KHN @jrovner Read Julie's stories. Julie Rovner is chief Washington correspondent and host of KHN’s weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition. While repealing the Affordable Care Act seems to have fallen off congressional Republicans’ to-do list for 2023, plans to cut Medicare and Medicaid are back. The GOP wants Democrats to agree to cut spending on both programs in exchange for a vote to prev ..read more
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Readers and Tweeters Diagnose Greed and Chronic Pain Within US Health Care System
Kaiser Health News | Insurance
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2w ago
Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. U.S. Health Care Is Harmful to One’s Health Thank you for publishing this research (“Hundreds of Hospitals Sue Patients or Threaten Their Credit, a KHN Investigation Finds. Does Yours?” Dec. 21). I am a psychotherapist and have written about this problem in my blog. The mercenary American health care system is hypocritical in the stressful financial demands and threats it imposes on so many patients. Stress due to health care-r ..read more
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Numbers Don’t Lie. Biden Kept His Promise on Improving Obamacare.
Kaiser Health News | Insurance
by Julie Appleby, Kaiser Health News
2w ago
Promise: “I’ll not only restore Obamacare; I’ll build on it.” In a speech on Nov. 2, 2020, then-presidential candidate Joe Biden promised, “I’ll not only restore Obamacare; I’ll build on it.” Two years and counting since then, how is he doing in meeting that promise? KHN has teamed up with our partners at PolitiFact to monitor 100 key promises — including this one — made by Biden during the 2020 presidential campaign. The pledges touch on issues related to improving the economy, responding to calls for racial justice, and combating climate change. On health care, they range from getting covid ..read more
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GOP House Opens With Abortion Agenda
Kaiser Health News | Insurance
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3w ago
The Host Julie Rovner KHN @jrovner Read Julie's stories. Julie Rovner is Chief Washington Correspondent and host of KHN’s weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A-Z,” now in its third edition. Having spent its entire first week choosing a speaker, the Republican-led U.S. House finally got down to legislative business, including passing two bills backed by anti-abortion groups. Neither is likely to become law, because they won’t pass the Senate no ..read more
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