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CMS advanced two proposed changes that could affect Medicare Advantage plans. One would allow the government to recover past overpayments. As a result, it could reduce those insurers’ profits, leading them to increase enrollees' out-of-pocket costs or reduce benefits. But it's inaccurate to characterize the changes as "cuts."
California Attorney General Rob Bonta is taking three major drugmakers and three distributors to court, alleging the companies illegally raised prices at the expense of diabetes patients.
Federal officials have apparently stopped fighting Georgia’s plan for a limited Medicaid expansion that includes work requirements. The plan, a key policy of Republican Gov. Brian Kemp’s, would cover a much smaller portion of the population: those who can work or volunteer 80 hours a month.
States, tribes, and local governments are figuring out how best to spend billions of dollars from an opioid lawsuit settlement. One option they’re considering is funding peer support specialists, who guide people recovering from addiction as they do it themselves.
Many of the pharmacies were small, independent operations that had decided not to participate next year because of the lowered reimbursement being offered. But they were surprised by an early dismissal, and some patients with specialized drug needs could face difficulties in the transition.
Science Friday and KHN ran the numbers on birth control failure. Depending on the contraception method, typical-use error rates can add up to hundreds of thousands of unplanned pregnancies each year.
The laws criminalizing abortion in many conservative U.S. states are expected to boost birth rates among teens, whose bodies often aren’t built for safe childbirth. For adolescents, the emotional and physical challenges of carrying a pregnancy to term can be daunting.
Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
For decades, the U.S. medical establishment has adhered to a legally recognized standard for brain death, one embraced by most states. Why is a uniform clinical standard for the inception of human life proving so elusive?
By undoing that landmark decision, the law of the land since 1973, the court has empowered states to set their own abortion restrictions — so where people live will determine their level of access.
If the Supreme Court affirms the leaked draft decision and overturns abortion rights, the effects would be sweeping in states where Republican-led legislatures have been eagerly awaiting the repudiation of a woman’s right to terminate a pregnancy.
To contain the spread of covid, hospitals and nursing homes barred visits. The separation and isolation took a toll on patients and families. Florida is one of the latest states to ensure access for visitors.
As states expand Medicaid’s dental benefits, they’re running up against a shortage of dentists willing to work on those patients, especially in rural communities. So Tennessee is helping dental schools expand and offering to pay off student loans for those who work in high-need areas.
Five states have created “assistant physician” licenses that allow medical school graduates to practice without completing residency training. But a federal indictment in Missouri of one assistant physician has some original supporters trying to rein in the medical specialty.
The Biden administration is getting rid of several policies implemented by Trump-era appointees that restricted enrollment. Federal officials now say states can no longer charge premiums to low-income residents enrolled in Medicaid and have ruled out work requirements.
The omicron variant upended a system in which states shared rapid covid tests with those that needed them more. Cooperation has turned into competition as states run out of supplies, limit which organizations get them, or hold on to expired kits as a last resort.
At least 26 states have passed laws to permanently limit public health powers, a KHN investigation has found, weakening the country’s ability to fight not only the current resurgence of the pandemic but other health crises to come.
Local health officials find themselves once again behind the covid curve as the delta variant drives their case counts. With resources already stretched, along with the politicization of covid-19, county and state health departments in places like Missouri and Texas are making tough calls on whom to trace.
No-shows for behavioral health appointments have been a long-standing problem, with up to 60% skipped. Now telehealth, fueled by the pandemic, makes it easier for people dealing with depression and other mental health issues to make it to their appointments at a time when such care is in high demand. But teletherapy creates other challenges.
As President Biden calls for more support to help schools hold in-person classes, public health experts say schools can be relatively safe if they take well-known steps to prevent covid. But a KHN investigation shows many districts and states have ignored health advice or written their own questionable safety rules for schools.
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